Utilization Management RN: Care Coordination Specialist
CommunityCare HMO Inc.
CommunityCare HMO Inc. seeks a Registered Nurse to perform clinical review of utilization requests and assess and implement potential coordination of care opportunities for overall membership, including high-risk and at-risk populations. The role is part of the Utilization Management Team and requires collaboration with physicians and other providers across the care continuum. Responsibilities include determining medical necessity, documenting determinations, referring cases to Medical Director, #J-18808-Ljbffr CommunityCare HMO Inc.
Vacancy posted 4 days ago
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