PACE Utilization Management Registered Nurse

Position Summary: Under the direct supervision of the Medical Director Resource Management, the PACE Resource Management, RN is responsible for all non-acute resource management and associated care coordination activities on a retrospective and on-going basis, reviewing claims for services and verifying the appropriateness of care. This position works directly with the PACE CMO or their designee, to evaluate and monitor medical appropriateness, determinations and care coordination activities. T…