Job Description
This position is 100% Remote Duties/Responsibilities: Provides case management services for assigned member caseloads which includes: Pre-certification performing risk-identification, preadmission, concurrent, and retrospective reviews to evaluate the appropriateness and medical necessity of treatments and service utilizations based on clinical documentation, regulatory, and InterQual/MCG criteria Assessment - identifying medical, psychological, and social issues that need intervention. Coo…
Salary Range
USD 66,648 - 66,648 per year
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