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... reviews for requested services using clinical judgment, and refers to internal ... processes. Enters and maintains pertinent clinical information in various medical management ... professional concepts/standards, regulations, strategies and..
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... Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent ... segment, and organizational strategy and..
... Horizon's National Improvement strategy and operating model for Behavioral Health Quality, ... Health Quality, within the Medicaid line of business. Responsibilities The Behavioral ... improvement strategy for the Medicaid..