
Clinical Nurse Care Manager Opportunity
19 hours ago
Clinical Nurse Case Managers play a pivotal role in patient care management and treatment plan coordination. Effective communication and strong clinical expertise are essential for success.
Key Responsibilities:
- Conducting thorough Utilization Management (UM) reviews to ensure the appropriateness of treatment settings
- Reviewing service requests for compliance with medical policy, member eligibility, benefits, and contracts
- Collaborating with clinical reviewers and medical directors to deliver high-quality, cost-effective care
This is a direct employment opportunity, allowing you to work from home and choose the company that best suits your needs.
Required Qualifications- Active USRN License or equivalent
- At least one year of experience in clinical or hospital settings
- USRN with RN License
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