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RN-Utilization Review
Ref No.: 18-04014
Location: Denver, Colorado
Position Type:Contract
Start Date: 04/10/2018
  • Facility in Denver seeks F/T Utilization Review RN's 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.
  • Managed Care experience is preferred however hospital experience is also considered.
  • 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.