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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