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Akron Children's
Akron, Ohio
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CompHealth
Eureka, California
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RN Case Manager Reviewer - Health Plan
Summary The Utilization Management Episodic Case Manager - RN is responsible for the coordination and efficient utilization of health care resources for Cook Children’s Health Plan (CCHP) members. Works with the Department Manager and Team Lead to assure the timely provision of quality care throughout the continuum of care. The UM/ECM - RN facilitates clinically appropriate and fiscally responsible care through communication with the providers and health plan medical directors. The UM/ECM - RN Reviewer assesse
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