Medica

Utilization Review III

Remote$70,200 - $120,400/yrPosted 1 week ago

Job details

Work type
Remote
Compensation
$70,200 - $120,400/yr
Posted
1 week ago
Apply on
recruiting2.ultipro.com

About this role

RN or LPN license; 2-3 years clinical experience; prior Appeals/Grievances or Utilization Management preferred; knowledge of STARs metrics; strong clinical decision-making and communication.

What you'll do at Medica:

  • Conduct clinical review
  • Evaluate medical necessity
  • Investigate grievances

Apply to this Utilization Review III role at Medica with a tailored resume on ApplyBolt.

About Medica