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Quality Care RN: Care Coordination & Utilization
Job in
New York, New York County, New York, 10261, USA
Listed on 2026-02-04
Listing for:
Phaxis
Full Time
position Listed on 2026-02-04
Job specializations:
-
Healthcare
Healthcare Administration, Healthcare Management
Job Description & How to Apply Below
Responsibilities
- Assesses member needs and identifies solutions that promote high quality and cost-effective health care services.
- Manages providers, members, team, or care manager generated requests for medical services and renders clinical determinations in accordance with healthcare policies as well as applicable state and federal regulations.
- Delivers timely notification detailing clinical decisions.
- Coordinates with management, subject matter experts, physicians, member representatives, and discharge planners in utilization tracking, care coordination, and monitoring to ensure care is appropriate, timely and cost effective.
- Works under general supervision.
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