Remote Utilization Management Nurse
📋 Role Overview & Responsibilities
Piper Companies is currently seeking a Remote Utilization Management Nurse for a remote opportunity within a health insurance organization. The Remote Utilization Management Nurse will be serving as an essential bridge between health care and medical coverage.
Responsibilities of the Remote Utilization Management Nurse
Responsible for performing medical reviews to assess, and coordinate quality care for patientsDetermine medical necessity utilizing MCG criteria and medical policy/contractual benefits.Coordinate with patients and providers to produce high quality care
Qualifications of the Remote Utilization Management Nurse
RN or LPN- North Carolina license3 + years of clinical experience, inpatient, ER/emergency clinical experience Case Management experience Utilization Management experience
Compensation for the Remote Utilization Management Nurse
Annual Salary Range: $76,000-$79,000Comprehensive Benefits: Medical, Dental, Vision, 401k
Skills: RN, LPN, registered nurse, ER, Inpatient, emergency room, case management, CM, Care Management, Case Manager, utilization management, UM, MCG, Medical Necessity
Frequently Asked Questions
How do I apply for the Remote Utilization Management Nurse position at Piper Companies? ▼
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Is this position eligible for remote work or visa sponsorship? ▼
Yes, this role is 100% remote and open to qualified professionals worldwide.
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