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NeueHealth
Overview
The Utilization Management Nurse evaluates and processes prior authorization requests for medical procedures, medications, and services to ensure clinical appropriateness. They also collaborate with medical directors and healthcare providers to facilitate coverage decisions and maintain compliance with regulatory standards.
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Compensation
$74,260 - $111,391 / YEAR
Posted
5 days ago
Family Health Center
The Clinical Care Manager coordinates care for high-risk patients to prevent health deterioration and manage chronic conditions. They work within a primary care team to ensure patients receive optimal care across various health settings and providers.
$45 / HOUR
1 month ago
Clever Care Health Plan
The Case Manager II - RN manages a caseload of moderately to highly complex members, serving as a clinical resource for Case Manager I staff. Responsibilities include conducting comprehensive assessments, developing individualized care plans, coordinating medical and behavioral health services, and leading interdisciplinary care team conferences.
$88,355 - $100,000 / YEAR
2 months ago
