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Utilization Review Nurse
LanceSoft, Inc.
Michigan, USA, United States of America
Not Disclosed
2 - 5 Years
Full Time - On Contract
Views:139
Applicants:0
Posted on 1 Sep, 2025
Remote
Job Description | Responsibilities
- Conduct medical necessity reviews of post-acute care using established policies, including appeals.
- Coordinate care and member outreach, support alternative care, and assess discharge readiness.
- Experience with InterQual required.
Overview
- Industry - IT - Consulting Services / Advisory Services
- Functional Area - ParaMedical Staff / Nurses / Medical Support / Lab / Diagnostics
- Job Role - Nurse
- Employment type - Full Time - On Contract
- Work Mode - Remote
Qualifications
- Any Graduate - Any Specialization
- Any Post Graduate - Any Specialization
- Any Doctorate - Any Specialization
Job Related Keywords
PCPNDT register
Maintaining Crash Trolley
high-risk medications.
report collection
Dispatch reports
doing guided procedures
assisting technologist
checking for expiry of drugs