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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