Remote RN Utilization Reviewer

3 hours ago

Utica, NY, United States Capital District Physicians' Health Plan Full-time

Capital District Physicians Health Plan Inc. seeks an experienced Utilization Management professional to coordinate and monitor medical services for members in New York. You will perform clinical reviews, document management activities, and collaborate with providers to ensure timely, appropriate care while maintaining regulatory compliance. The role involves on-call rotation, cross-functional coordination, and potential for additional hours per department needs. #J-18808-Ljbffr