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Remote Care Manager RN — Utilization & Outcomes (Weekend)

Highmark Health

Alton, IL
  • Remote job

Highmark Health is seeking an experienced Utilization Manager to join our remote team. This role requires weekend availability (Saturday and Sunday) plus three weekdays and focuses on reviewing care appropriateness, applying utilization criteria, and referring to Health Coaching/case management as needed. Responsibilities include promoting quality and efficiency, educating providers, and analyzing data to improve outcomes for members. Compliance with HIPAA and regulatory standards is essential. #J-18808-Ljbffr Highmark Health

Vacancy posted 2 days ago
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