The Medical Intake Coordinator facilitates requests for medical services by handling incoming calls and gathering necessary information from members and providers. They are responsible for documenting call details, initiating authorizations, and communicating medical review outcomes.
The Utilization Management RN is responsible for performing telephonic clinical assessments and rendering initial determinations of medical appropriateness for health benefit plans. They also identify individuals who may benefit from large case management and document all clinical interactions accurately.
The Care Manager will provide telephonic education and coaching to patients managing chronic conditions to improve health outcomes. Responsibilities include identifying eligible patients, conducting outreach, and documenting interactions within the system.
The Utilization Management RN is responsible for performing telephonic clinical assessments and rendering initial determinations of medical appropriateness. They also identify individuals who may benefit from case management and document all clinical information accurately.
