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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