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... case findings. Educates providers on utilization and medical management processes. Enters and maintains pertinent ... clinical information in various medical management systems. Decisions are typically related ... other managers..
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Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure ... waste, and abuse. The Compliance Nurse 2 work assignments are varied ... of action. Responsibilities The..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied ... courses of action. Responsibilities The..
Description The RN, Compliance Nurse 2 reviews utilization management activities and documentation to ensure ... fraud, waste, and abuse. The RN Compliance Nurse 2 work assignments are varied ... courses..
... Conviva Care Solutions is a management services organization representing nearly 300 ... Responsibilities The Transition of Care Nurse employs a variety of strategies, ... member's physical, environmental, and psycho-social..