BCVS Group
Register Nurse (RN) with current, valid, unrestricted license in state of operations or reciprocity. 3 years of clinical experience Familiarity with UM/CM activities and standardized criteria set. Knowledge of ancillary services including HHC, SNF, Hospice, etc
This position is responsible for performing concurrent review in accordance with accepted department criteria; performing discharge planning and identifying alternate treatment programs Conducting episodic case management, consulting and collaborating with providers, members, and other resources as appropriate Assessing, planning, and implementing options and services require to meet an individual's health needs within the scope of their benefit plan.
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