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Utilization Management Nurse Consultant
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$30.39 - $65.66 an hour
Full-time
- This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world.
- Gathers clinical information and applies the appropriate medical necessity criteria/guideline, policy, procedure and clinical judgement to render coverage determination/recommendation/discharge planning along the continuum of care.
- Utilizes clinical experience and skills in a collaborative process to evaluate and facilitate appropriate healthcare services/benefits for members including urgent or emergent interventions (such as triage/crisis support).
- Identifies members who may benefit from care management programs and facilities referrals.
- 3+ years of clinical practice experience in an inpatient setting as an RN
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