for our Shared Services departments including concurrent review, transplant, and NICU/HROB. The Utilization Management Nurse, Senior...Job Category: Healthcare Services and Operations Job Description: Your Role The Utilization Management team...
Post Service Clinical Review nurse will report to the manager of FEP Post Services. In this role you will be reviewing... claims and medical records review of services rendered to FEP members. Post-Service Clinical Nurse reviews for medical...
experience preferred Comprehensive knowledge of case management, discharge planning, utilization management, disease management... with all levels including senior management and influence decision-making Demonstrates professional judgment, and critical thinking...