MLTC UM RN

Job description

Remote RN Utilization Management Nurse (MLTC) Remote | NY RN License Required $62/hour We are seeking an experienced Registered Nurse (RN) with MLTC experience for a Remote Utilization Management role with a leading healthcare organization.

Responsibilities

• Review clinical records and evaluate requests for medical services Perform prior authorization and concurrent reviews Determine medical necessity and appropriate level of care Collaborate with providers, care managers, and interdisciplinary teams Ensure compliance with state and federal regulations

Requirements

• Active NY RN License MLTC experience required Utilization Review / Case Management experience preferred Strong clinical assessment and documentation skills Weekend rotation required

About Phaxis

Phaxis is one of the nation's leading recruiting and consulting firms. Working directly with our clients, candidates and consultants, our team is focused on bringing the right people together. Despite working nationally, we never forget our local roots. Whether it’s recruiting for technology, travel healthcare, allied or local healthcare, finance & accounting, or support services, legal or marketing, our team understands how to deliver results. Since 2002, we have been dedicated to tailoring our approach to both our client’s and candidate’s unique journey.