Qualifications - Prior experience in Utilization Management - Knowledge of health regulations, guidelines, and coverage issues... required; Associate's Degree preferred or equivalent combination of education or experience - Current Licensed Practical Nurse (LPN...
. Demonstrates compliance with facility-wide Utilization Management policies and procedures. Coordinates UR compliance with Quality... discipline either as a Nurse or a Respiratory Therapist OR Social Work SW/MSW (potential license per state guidelines...
physicians, nurse practitioners, pharmacists, psychiatrists, registered nurses, licensed clinical social workers... population health metrics, including quality measures, utilization measures, and financial measures Other duties, as assigned...
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