Job Title: Utilization Management Nurse (MLTC Focus)
Location: Remote, New York (Active NY nursing license required)
Pay: $40-$42/hr + benefit Plan offered.
Job Description: We are seeking a Utilization Management Nurse specializing in Managed Long-Term Care (MLTC) to perform standard and expedited inpatient, outpatient, and custodial care clinical reviews for MLTC members. The ideal candidate will be proficient in the review process and turnaround timeframes, able to work efficiently in a fast-paced environment, and ensure compliance with state Medicaid guidelines.
Responsibilities:
Required Skills & Qualifications:
Preferred Skills:
Additional Information:
This role offers an opportunity to be part of a dynamic team in a fast-paced environment, contributing to quality care for MLTC members across New York. If you have the relevant experience and licensure, and are committed to providing excellent clinical reviews, we encourage you to apply.
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