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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
... and available resources to promote quality, cost-effective outcomes. Coordinate medical, behavioral and other ... unrestricted license to include: Licensed Clinical Social Worker (LCSW), Licensed Masters ... Licensed Masters Social..
Description The Care Management Support Assistant 3 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..
... program in meeting optimal member outcomes, assuring that medically necessary and ... Medical Director serves as a clinical resource for the LTC program ... innovative approaches for improving the..
... our care can achieve better outcomes—and professionals can achieve their most ... career development. Superior training, UltraCare® quality control, and certification procedures ensure ... Nurse to ensure provision of..
... advocate environment focused on high quality outcomes versus activities. Our department primarily ... of their care. We value quality work as every action taken ... the member and avoid..
... our care can achieve better outcomes-and professionals can achieve their most ... career development. Superior training UltraCare® quality control and certification procedures ensure ... Nurse to ensure provision of..
... positive adjustment, rehabilitation and improved quality of life for our patients. ... and family to ensure comprehensive quality care of our patients. Supports ... the FMCNA commitment to the..
... Member Plan (EFMP), auditing for quality and clinical compliance, and case management. Serve ... documentation. Complete required audits of clinical records. Assist in entry and ... Ensure audits are..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..