RN Utilization Review Specialist (Hybrid)

Munson Healthcare in northern Michigan is seeking an Utilization Review Specialist (RN) to ensure appropriate utilization of healthcare services across the continuum of care. You will evaluate admissions, continued stays, and transitions of care to align with regulatory requirements and payer guidelines. Collaborating with physicians, case managers, and payers, you will promote high-quality, cost-effective care while supporting reimbursement and organizational performance; strong clinical