Registered Nurse /Utilization Care Manager Job in El Dorado Hills, CA
Location: El Dorado Hills
Posted on: October 24, 2024
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Job Description:
Modis is looking to fill a Nursing/Utilization Care Manager
contract with likelihood to extend, with our healthcare client in
El Dorado Hills, CA. If you meet the below requirements and would
like to learn more about this great opportunity please apply now
for immediate consideration.
We are looking for a Nurse/Case Manager familiar with performing
advanced or complicated case review and determining first level
approvals for prior authorization of services, inpatient,
outpatient and/or ancillary services. You will act as liaison
between the member, the provider and the health plan to utilize
appropriate and cost effective resources. Ultimate goal is
Discharge (DC) planning and to return patient to cognitive and
physical condition prior to event that triggered treatment.
EXPERIENCE
RESPONSIBILITIES
QUALIFICATIONS/ JOB REQUIREMENTS
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