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Highmark Health
Overview
This role assures members with complex medical and/or psychosocial needs access to high-quality, cost-effective healthcare through holistic assessment, planning, arranging, coordinating, monitoring, and evaluating outcomes. Responsibilities include advocating for appropriate care plans, following regulatory guidelines, and facilitating interdisciplinary meetings to coordinate services and resources.
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Compensation
$57,700 - $107,800 / YEAR
Posted
21 days ago
Spectrum Healthcare Resources
Assist with triaging, providing direct patient care, and assisting in clinic procedures. Provides telephonic communication between healthcare providers and patients.
Salary not listed
3 months ago
CVS Health
The Utilization Management Nurse Consultant utilizes clinical skills to coordinate, document, and communicate all aspects of the utilization/benefit management program, ensuring members receive appropriate care at the right time and location based on designated criteria. This role involves reviewing clinical records to assure medical necessity, applying expertise for appropriate benefit utilization, and facilitating safe discharge planning while working with facilities and providers.
$29 - $62 / HOUR