California Licensed Outpatient UM Nurse

Location: Remote
Compensation: Salary
Reviewed: Wed, Mar 12, 2025
This job expires in: 24 days

Job Summary

A company is looking for an Outpatient UM Nurse.

Key Responsibilities
  • Manage medical management clinical functions
  • Utilize knowledge of MCG, InterQual, and NCQA standards
  • Handle EZ-Cap for UM, Right Fax, and MCG processes
Required Qualifications
  • Active and Unrestricted California LVN (Licensed Vocational Nurse)
  • Minimum 2 years of experience in medical management clinical functions
  • Strong nursing background with experience in multiple areas of nursing
  • Familiarity with MCG, InterQual, and NCQA standards
  • Experience with EZ-Cap for UM and Right Fax

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