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Utilization Management RN: Care Coordination & Review

CommunityCare HMO, Inc.

CommunityCare HMO, Inc. in Tulsa, OK is looking for a Registered Nurse to perform clinical reviews of utilization requests. The role involves assessing and implementing care coordination opportunities for members with high utilization needs. Responsibilities include performing utilization reviews, determining medical necessity, and collaborating with healthcare providers. Candidates should be a graduate from an accredited nursing school with an active RN license in Oklahoma and possess experience in acute care and population health. #J-18808-Ljbffr

Vacancy posted 1 day ago
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