with utilization review or case management experience preferred. RN-Case Management III: Registered Nurse with Masters of Science...Overview: The RN - Case Management - Utlization Review to provide clinically-based case management to support the...
of the utilization/benefit management program. Performs care review both prospectively and retrospectively. Prospective... nursing and utilization review or case management within the last 10 years. Qualifications: Bachelors degree in Nursing...
of the utilization/benefit management program. Performs care review both prospectively and retrospectively. Prospective... nursing and utilization review or case management within the last 10 years. Qualifications Bachelors degree in Nursing...
regulatory policies related to utilization management and care coordination (CMS guidelines, Health Plan policies, and benefits... informed decisions. By serving as the link between patients and the appropriate health care personnel, the Clinical Review...
regulatory policies related to utilization management and care coordination (CMS guidelines, Health Plan policies, and benefits... informed decisions. By serving as the link between patients and the appropriate health care personnel, the Clinical Review...
, including utilization management and intensive care management staff, providing expertise in designated programs. Assists... clinical management in the development and on-going management of designated staff. Performs care management review activities...