Utilization Management Nurse Consultant - Cacao

Réservé aux membres inscrits Cacao, France

il y a 3 semaines

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À temps plein $26.01 - $68.55 (USD)
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Job Summary


We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience.


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Responsibilities


  • Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.
  • Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care

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