Care Management Coordinator/RN - Philadelphia
1 week ago

Job summary
Innova Solutions has a client that is immediately hiring for a Care Management Coordinator/RN.This position is responsible for applying critical thinking and judgement skills based on advanced medical knowledge to cases utilizing specified resources and guidelines to make case determination.
- Utilizes resources such as InterQual, Care Management Policy, Medical Policy and Electronic Desk References to determine the medical appropriateness of the proposed plan.
- Contacts servicing providers regarding treatment plans/plan of care and clarifies medical need for services.
Job description
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