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Confidential
A company is looking for a Utilization Review Nurse - LPN (Remote). Key Responsibilities: Conduct concurrent and continued stay Utilization Management reviews, ensuring accurate data tracking, evaluation, and reporting Lead or participate...
Confidential
A company is looking for a Utilization Management Nurse (MLTC Focus) to perform clinical reviews for Managed Long-Term Care members. Key Responsibilities Conduct standard and expedited UM clinical reviews for inpatient, outpatient, and custodial...
Confidential
A company is looking for a Utilization Management Technician for weekends and off hours, working remotely. Key Responsibilities Coordinate, generate, and track incoming and outgoing correspondence, faxes, and authorizations related to...
Confidential
A company is looking for an RN Specialist Complex Case Manager. Key Responsibilities: Engage with members, families, and providers to manage complex medical cases and develop comprehensive care plans Conduct clinical assessments and collaborate...
Confidential
A company is looking for an RN Quality Improvement Coordinator. Key Responsibilities Develops and implements the annual Quality Improvement Program in collaboration with the Medical Director and PACE Program Director Coordinates quality...
