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Utilization Management Nurse

Work from home Full-time role Hiring

Description

Blue Eagle is looking for Pre-Cert Nurse(s) to assist with inpatient and outpatient PA reviews. 

Requirements

• Current Nursing License and in good standing
• Prior Authorization and UM expert
• NCQA and InterQual expertise preferred
• Facets experience preferred

Summary

Blue Eagle Consulting (BEC) is known for providing “A-List” contract resources to help healthcare organizations maintain their core business applications – we solve temporary deficiencies in bandwidth and expertise. In addition, we deliver the best in the business when it comes to resources with the practical knowledge and expertise that industry leaders depend on.

Since our beginnings in 2004, we have worked with dozens of integrated delivery networks, health plans, physician organization and hospital organizations in the United States and Puerto Rico. We primarily focus on providing Subject Matter Expertise (SME) consulting resources for individual healthcare markets, particularly healthcare plans, hospitals and large physician organizations.

 
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