Ensemble Health Partners is seeking an RN, Senior Utilization Review Quality to lead quality reviews for the VUR team. You will partner with leadership to drive improvement, ensure medical necessity review accuracy, and maintain compliance across multiple clients using diverse host systems.
You will mentor colleagues, analyze QA processes, and help implement training and onboarding support. This remote role may require occasional onsite travel to client locations as business needs demand.
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Remote RN: Senior Utilization Review Quality Lead • workfromhome, United States