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Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... needs and requirements to achieve and/or maintain optimal wellness state by ... members. The Care Manager, Telephonic Nurse..
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... you answered YES to one or more of the above you ... diagnosis and procedure coding (DRG and/or CPT). Analyzes, enters and manipulates ... as well as responds to..
... and communication of medical services and/or benefit administration determinations. The Manager, ... and most appropriate treatment, care or services for members. Coordinates and ... and communicates with providers, members,..
... needs and requirements to achieve and/or maintain optimal wellness state by ... allow each member to achieve and/or maintain their optimal health. Apply ... on identified needs and recommend..
... and policies, and approves services or forwards requests as needed. The ... Behavioral Health Professional 2 - Registered Nurse you will contribute to the ... and unrestricted license from..
... course of action. Role Requirements Registered Nurse or Behavioral Health professional 5 or more years of experience in ... Compliance, Utilization Management, Behavioral Health, and/or Case Management Exceptional analytical..
... in care, eligibility for assistance and/or need for care management program ... need for care management program or other referral services in collaboration ... Social Determinants of Health needs..
... the team with a Senior Nurse Auditor roles! This is a ... you answered YES to one or more of the above you ... should strongly consider the Senior..