Job Summary As a Clinical Services Manager – RN Telephonic Case Management, you will ensure optimum recovery on every... claim while establishing trust, providing education, delivering information, and care. You will provide case direction...
for the case management of patient while hospitalized and upon discharge from various care settings. In collaboration with the... health care providers. Refers to Ambulatory Case Manager patients identified that will need oversight of outpatient care...
insurance environment and/or experience as care manager in home health or hospice environments. Previous care management... in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer: The...
Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary referrals that meet established... a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service...
Clinician is responsible for overall management of member's case within the scope of licensure; provides supervision... and direction to non-RN clinicians participating in the member's case in accordance with applicable state law and contract; develops...