on cases not meeting clinical criteria. Identifies members with complex conditions requiring one on one case management...Overview: Now hiring a Utilization Management Nurse Specialist Performs clinical review to ensure that services...
on cases not meeting clinical criteria. Identifies members with complex conditions requiring one on one case management...Overview Now hiring a Utilization Management Nurse Specialist Performs clinical review to ensure that services...
and regulatory requirements are met and clinical and fiscal targets are achieved. Directly reports to the Manager of Quality PHP... for supervising the daily operations of the Performance Improvement interventionists, program manager associates, and all program...