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IEHP

RANCHO CUCAMONGA, California

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University of Maryland Medical System

Baltimore, Maryland

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University of Minnesota Physicians

Minneapolis, Minnesota

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PIH Health

Downey, California

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Sonic Healthcare USA

Scottsdale, Arizona

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AdventHealth

Dade City, Florida

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Penn State Health

Hershey, Pennsylvania

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Southern California Permanente Medical Group

Simi Valley, California

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AdventHealth

Riverview, Florida

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AdventHealth

Riverview, Florida

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UNC Health

Holly Springs, North Carolina

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University of Maryland Medical System

Baltimore, Maryland

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Vanderbilt Health

Nashville, Tennessee

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Memorial Sloan Kettering Cancer Center

New York, New York

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CHRISTUS Health

Longview, Texas

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AdventHealth

Zephyrhills, Florida

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Pediatrix Medical Group

Seattle, WA, USA

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WMCHealth

Valhalla, New York

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Northeast Georgia Health System

Gainesville, Georgia

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Optum

Shippensburg, Pennsylvania

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AdventHealth

Riverview, Florida

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Pediatrix Medical Group

Texarkana, TX, USA

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Care Manager RN 1 QA
JOB SUMMARYThe Care Manager RN 1 QA will be responsible for assessing and coordinating patient care across the continuum, utilizing accepted criteria and guidelines to manage benefits and determine medical necessity of services provided. This position will function as a clinician, case manager, and educator to achieve optimal clinical and quality outcomes by effectively managing care and resources to reduce unnecessary utilization.ESSENTIAL FUNCTIONS OF THE ROLEAssesses plans, implements, documents, coordinates, monitors, evaluates and updates the plan of care by collaborating with all members of the health care team to provide evidenced based care.Establishes patient care management plans, interventions, treatment goals and self-manage


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