Remote Utilization Management RN — TOC & PA Expert

A healthcare consulting firm is seeking a dedicated Utilization Management Registered Nurse (UM RN) for a remote position in Roseburg, Oregon. This role involves assessing medical necessity and appropriateness of healthcare services, supporting transitions of care, and ensuring compliance with Medicare guidelines. The ideal candidate has at least 3 years of experience in Utilization Management, demonstrating strong clinical skills and the ability to document effectively.

Flexibility to adapt to new technologies and systems is crucial for success in this role.
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