Intake Nurse - Utilization Management

Job Description Job Description About the role Under the direction of the Director of Utilization Management, UM Clinical Manager and the UM Outpatient Clinical Supervisor, the RN Clinical Intake Coordinator is responsible for supporting the clinical Utilization Management activities for members. Conducts medical necessity review of referral requests including but not limited to requests for DME, outpatient therapies, and prior authorizations for outpatient procedures and prospective inpatient …