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Supervisor Care Management RN - USFHP
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- Job DescriptionThe Supervisor Care Management RN is responsible for the supervision of case management (CM) and utilization management (UM) functions of US Family Health Plan to achieve cost-effective utilization of resources.
- This is accomplished through the proactive coordination of services to move patients efficiently through the continuum of care and ensure referrals are reviewed and processed in a timely manner.
- Responsible for ensuring accurate and consistent application of and adherence to TRICARE policy guidelines, other regulations and department policies and procedures.
- Works collaboratively and proactively with Director of Operations and USFHP Medical Director(s) to develop and implement strategic case management and utilization management yearly goals.
- The Supervisor Care Management RN demonstrates Pacific Medical Centers' core values of integrity, compassion, stewardship and respect, providing exceptional customer service and high quality service in the performance of work assignments and duties.
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