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Description The Care Manager, Telephonic Nurse 2, in a ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a NICU Care Manager, Telephonic Nurse..
... to make determinations whether requested services, requested level of care, and/or ... and appeals processes, and outpatient services and equipment, within their scope. ... medical interpretation and determinations whether..
... decisions about the appropriateness of services provided by other healthcare professionals ... medical interpretation and determinations whether services provided by other healthcare professionals ... and the Regional VP Health..
... Bay Wisconsin Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... with oversight from the NAL..
Description The Manager, Utilization Management Nursing utilizes clinical ... documentation and communication of medical services and/or benefit administration determinations. The ... and/or benefit administration determinations. The Manager, Utilization Management Nursing..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..