HN02 – Case/Care Management Nurse – Field

HN02 – Case/Care Management Nurse – Field-ManagementSUMMARY Responsible to collaborate with healthcare providers and members to promote quality member outcomes, to optimize member benefits, and to promote effective use of resources. MAJOR DUTIES AND RESPONSIBILITIES Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of network services, and appropriateness of treatment setting by utilizing the applicable medical policy and industry standards, accurately Read more […]

January 5, 2009 • Tags: , , , , • Posted in: General • Comments Off on HN02 – Case/Care Management Nurse – Field