The Judge Group is looking for a UM RN in Denver, CO!
- Facility in Denver seeks F/T Utilization Review RN for excellent contract working in Managed Care department.
- BSN preferred, 3 years’ experience in medical utilization management, and experience working with a health insurance plan.
- Strong UM experience a must.
- Ideal candidate will have experience working in an MCO setting doing outpatient utilization review using MCG.
- Seeking highly skilled individual with experience with InterQUal and MCG.
- Provides medical and/or behavioral health utilization management for members of facility medical plan in accordance with the schedule of benefits and network criteria defined by the Plans various lines of business and Center of Medicare & Medicaid Services.
- Must work on site- no remote or travel option.
Published 3 days ago
You can see similar jobs for here