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The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Reports to the Regional UM Manager.

Current hiring range for this role is $83-$86K/yr basedon experience and qualifications and also includes a 6% AIP(annual incentive plan) opportunity each year!

The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members.

+ Coordinates and communicates with providers, members, or other parties to facilitate optimal care ...