.. on collaboration, communication and community We’re located at 16 Hampton Road, Exeter, NH ** We are looking for a motivated hygienist who is positive, hard-working and loves to have fun! What You’ll Gain Competitive benefits including health insurance and retirement savings plans, six paid holidays .. read more
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 patients
- Determine medical necessity utilizing MCG criteria and medical policy/contractual benefits.
- Coordinate with patients and providers to produce high quality care
- RN or LPN- North Carolina license
- 3 + years of clinical experience, inpatient, ER/emergency clinical experience
- Case Management experience
- Utilization Management experience
- Annual Salary Range: $76,000-$79,000
- Comprehensive 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
#LI-KI1 #LI-REMOTE
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