Medical Utilization Management Nurse - Chapel Hill

Only for registered members Chapel Hill, United States

1 week ago

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Job summary

The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards,

Primary Responsibilities:
  • Performs clinical utilization reviews using evidenced based guidelines,policies and nationally recognized clinical criteria and internal policies/procedures
  • Collaborates with healthcare partners to ensure timely review of services and care

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