American Health Plans
Utilization Review Nurse- Remote
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- Work type
- Remote
- Posted
- 6 days ago
- Apply on
- recruiting2.ultipro.com
About this role
Associate's degree in nursing; active RN license; 1+ year utilization management experience with Interqual or MCG; knowledge of Medicare regulations, CPT, ICD-10, HCPCS; CCM preferred.
What you'll do at American Health Plans:
- assessing medical necessity
- conducting utilization reviews
- coordinating with providers
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