Transcription of JOB DESCRIPTION Job Title: Utilization Management …
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JOB DESCRIPTION Job Title: Utilization Management …
JOB DESCRIPTION Job title : Utilization Management Nurse Department: Utilization Management Reports to: Clinical Manager FLSA Status (Exempt/Non-Exempt): Non-Exempt Date: 08/26/2008 Purpose of the job: Responsible for assuring the receipt of high quality, cost efficient medical outcomes for those enrollees identified as having the need for inpatient and or outpatient precertification / preauthorization. Responsible for screening enrollees for ICM programs including case Management and disease Management .
13. Support company and departmental QA/QI initiatives. Qualifications: Education and/or Experience Required at Entry: 1. Two years of prior experience with Utilization Management.
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