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Case Management Coordinator - Inpatient Specialty Program
The Case Management Coordinator, Utilization Management, provides support to the utilization review process. Works collaboratively with all team members of Utilization Management, Patient and Provider Services, Claims Department and other Care Coordination Department staff. Assists in identifying, tracking and coordinating services for patients when needed. The position requiresgood written and communication skills and the ability to interact with Medical Directors, Providers, Medical Group and IPA's to ensure the delivery of high quality, cost effective healthcare and aligned with all state and federal regulations and guidelines. Job Duties and Responsibilities: Enters data and processes referral authorization
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