Utilization Management RN: Care Coordination & Review

CommunityCare HMO Inc.

CommunityCare HMO Inc. seeks a Registered Nurse to perform utilization review of services and assess coordination of care for members, including high-risk populations and populations with elevated utilization. The role involves documenting review determinations, referring non-qualifying cases to the Medical Director, and collaborating with providers to ensure care across the health care continuum. Health care sanctions background check required. #J-18808-Ljbffr

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Vacancy posted 4 days ago

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