Care Manager Rn - Utilization Management (um) Remote
Highmark Health
Base: $68,400.00 - $105,900.00; bonus/equity: not ...
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3 years clinical experience
Current pa rn licensure
Review of healthcare services appropriateness
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Highmark Health is seeking a Care Manager RN specializing in Utilization Management for a remote position. The role involves implementing care management strategies, analyzing healthcare service delivery, and promoting efficiency and quality in care while ensuring compliance with regulations.
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Job Summary
This role implements effective utilization management strategies including the review of appropriateness of health care services and application of criteria to ensure appropriate resource utilization.
The position requires identifying opportunities for referral to Health Coaching and resolving quality issues while educating providers and members on a proactive basis.
Candidates must hold a current state of Pennsylvania RN license or multi-state licensure through the enhanced Nurse Licensure Compact.
Matching Summary
Match Score: 75
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Highmark Health is seeking a Care Manager RN specializing in Utilization Management for a remote position. The role involves implementing care management strategies, analyzing healthcare service delivery, and promoting efficiency and quality in care while ensuring compliance with regulations.
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Salary
Base: $68,400.00 - $105,900.00; Bonus/Equity: Not specified; Benefits: Not specified