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Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... benefit administration determinations. Responsibilities The Utilization Management Nurse 2/Home Health Utilization Management Review cases using clinical knowledge, ... calls..
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... match every single requirement. Behavioral Health Care Coordinators (UMC) are licensed ... our members with post-discharge behavioral health/substance abuse care coordination to ensure ... been engaged in recent behavioral..
... and action thresholds. Oversees facility’s Home Therapies Program if applicable. Accountable ... care as per the disease management agreement, including initial and ongoing ... workup of patients for access..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied ... courses of action. Responsibilities The..