NeueHealth is transforming healthcare with a focus on quality, cost-effective outcomes, looking for an UM Nurse to facilitate care coordination and ensure member rights to healthcare services.
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Skills
Critical thinking
Effective communication
Time management
Problem-solving
Responsibilities
Perform medical necessity reviews for assigned members
Review cases for medical necessity using clinical criteria
Collaborate with Medical Director on adverse determinations
Communicate discharge planning to transition care teams
Meet productivity targets
Serve as resource for non-clinical team members
Education
Associate's degree in Nursing
Benefits
Health benefits
Life and disability benefits
401(k) with match
Paid Time Off
Paid holidays
To read the complete job description, please click on the ‘Apply’ button