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Medical Management - Utilization Management RN 145-2016

Posted 2 days ago Himalayas
Healthcare

AI summary: Reviews utilization requests and coordinates care for high-risk, institutionalized, and other members with complex healthcare needs.

Description

JOB SUMMARY:Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high risk members, and other members identified with at risk or high utilization needs.
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