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RN, Utilization Management Monday

Coordinates UM and case management activities for commercial and Medicare enrollees.
Reviews referral/service requests on assigned patients in accordance with NCQA timeliness standards and health plan benefit structure.
Prepares and presents cases for review with the medical director.
Identifies and refers patients to disease management, wellness programs and community resources as warranted.
Assess members physical, psychological and social status and coordinates with treating physician as warr

Contact Information

  • Hamilton Landing
    San Francisco, CA 94102
    United States

Other Information

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Registered Nurse

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