conditions. Reporting to the Health Plan Director of Medical Management, the Utilization Review Manager, will be an integral...) Previous health plan utilization management experience Unencumbered RN licensure required (WV, compact - or willing to obtain...
information about this position. Reporting to Manager of Care Management, the Care Manager will be an integral member of the... health plan’s medical management team. This position is responsible for identifying and connecting high risk members...
to the Health Plan Manager of Utilization Review, the Appeals Nurse, will be an integral member of the health plan’s medical... or utilization review. PREFERRED QUALIFICATIONS: EXPERIENCE: 1. Medical Management experience preferred. CORE DUTIES...