RN - Utilization Management (Medicaid)

at Carewise Health, Inc
Location Louisville, KY
Date Posted July 6, 2018
Category Quality Management
Job Type Full-time


Must have an active & unrestricted Registered Nurse license. Monitors daily work flow queues and performs necessary calls to ensure completion of reviews according to department procedure and URAC guidelines. Assessing, planning, implementing and, coordinating clinical recommendations regarding medical necessity for admission, continued stay and the development / implementation of a basic case...