Position Overview. The Utilization Management (UM) Nurse assesses healthcare services to ensure optimal outcomes, cost-effectiveness, and compliance with state and federal regulations. This role involves analyzing clinical service requests, conducting prior authorization reviews, and collaborating with multidisciplinary teams to promote the Care Model. Must have BH service background and/or MCO experience in UM. Must reside in one of the followin...
Position Overview. The Utilization Management (UM) Nurse assesses healthcare services to ensure optimal outcomes, cost-effectiveness, and compliance with state and federal regulations. This role involves analyzing clinical service requests, conducting prior authorization reviews, and collaborating with multidisciplinary teams to promote the Care Model. Must have BH service background and/or MCO experience in UM. Must reside in one of the followin...
