Hybrid RN: Episodic Care Manager and Care Coordination
Blue Cross and Blue Shield of North Carolina
Blue Cross NC is seeking an Episodic Care Manager to join the Commercial Clinical Utilization Management (UM) Team. The role focuses on clinical reviews to assess medical necessity and coordinate care across providers, members, and internal staff to deliver high-quality, cost-effective care. You'll review varied cases (inpatient, outpatient, DME), ensure timeliness and compliance, communicate findings to MDs, and support secondary reviews when needed. #J-18808-Ljbffr Blue Cross and Blue Shield of North Carolina
Vacancy posted 2 days ago
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