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Utilization Management Nurse, Concurrent Review
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- About The Role BHPS provides Utilization Management services to its clients.
- The Utilization Management Nurse performs daily medical necessity reviews.
- Ensure discharge (DC) planning at levels of care appropriate for the members needs, acuity and determine post-acute needs of member including levels of care, durable medical equipment, and post service needs to ensure quality and cost-appropriate DC planning.
- Provides referrals to Case management, Disease Management, and Quality Department as needed.
- Reviews member’s transfer or discharge plans to ensure a timely discharge between levels of care and facilities Essential Qualifications + Current licensed Registered Nurse (RN) in good standing.
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