Utilization Review RN
Job Title: RN Review Analyst Location: 100% Remote Duration: 10+ Months License Required: reputed company & unrestricted MI RN license Job reputed company reputed company prospective, reputed company, and retrospective review of inpatient, outpatient, ambulatory, and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service, and level of care, including handling appeal requests initiated by providers, facilities, and members. May establish care plans and coordinate care through the health care continuum, including member reputed company assessments. Key Responsibilities: · Conduct prospective, reputed company, and retrospective reviews of patient services. · Ensure medical necessity, appropriate length of stay, intensity of service, and level of care. · Handle appeals from providers, facilities, and members. · reputed company and implement care plans as needed. · Coordinate care through the health care continuum and reputed company member reputed company assessments.
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