Clinical Utilization Management Nurse Advisor
2 weeks ago
Position Overview:
As a Clinical Utilization Management Nurse Advisor, your role will involve leveraging your clinical expertise to effectively coordinate, document, and communicate all facets of the utilization and benefit management program.
Key Responsibilities:
- Ensure that members receive appropriate healthcare services.
- Utilize clinical judgment to assess and manage healthcare needs.
- Collaborate with healthcare providers to optimize patient outcomes.
Qualifications:
- Strong background in nursing with a focus on utilization management.
- Excellent communication skills to interact with members and providers.
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