Utilization Management Nurse-RN

I do not wish to provide a job location, A dynamic healthcare organization has an exciting opportunity for a Utilization Management Nurse-RN in San Antonio, Texas. Scope: Responsible for reviewing proposed hospitalization, home care, and inpatient/outpatient treatment plans for medical necessity and efficiency in accordance with CMS coverage guidelines. The UM Nurse determines medical appropriateness of inpatient and outpatient services f


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