Remote Utilization Management RN - Medical Review & Care Optimization (Etobicoke)

Remote Utilization Management RN - Medical Review & Care Optimization (Etobicoke)

05 Nov
|
Arkansas Blue Cross
|
Etobicoke

05 Nov

Arkansas Blue Cross

Etobicoke

Arkansas Blue Cross Blue Shield is seeking an experienced Utilization Management Nurse to perform clinical reviews for prior approvals, network exceptions, and various inpatient/outpatient cases.

This role ensures medical necessity aligns with evidence-based guidelines and corporate policies.

The RN must hold an active license, have 4+ years of clinical nursing practice, and be capable of work from home from several western states while maintaining compliance and cost containment goals. #J-18808-Ljbffr

📌 Remote Utilization Management RN - Medical Review & Care Optimization (Etobicoke)
🏢 Arkansas Blue Cross
📍 Etobicoke

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