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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... you succeed, we succeed! The..
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Description The Manager, Care Management leads teams of nurses and ... behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and ... schedules and..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral ... involves processing referrals into medical management system with emphasis on accuracy ... to answer provider/beneficiary inquiries. The Care Management..
... direct responsibility for establishing the Care Management and Chronic Condition Management programs and services utilized across ... best and most appropriate treatment, care or services for members. Responsibilities .....