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Minnesota Licensed RN Care Manager
A company is looking for an RN Care Manager Preservice and Retrospective. Key Responsibilities Conducts pre-service and retrospective reviews to ensure clinical appropriateness and resource utilization Monitors healthcare service delivery and educates providers and members to improve satisfaction Identifies and resolves quality issues and discrepancies in provider billing practices Required Qualifications, Training, and Education Registered nurse or licensed behavioral health clinician with a current MN license 3 years of related, progressive clinical experience Proficient in multiple PC-based software applications and systems Thorough understanding of state and federal regulations and accreditation standards Demonstrated strong organizational skills and ability to manage priorities
A company is looking for an RN Care Manager Preservice and Retrospective.
Key Responsibilities
Conducts pre-service and retrospective reviews to ensure clinical appropriateness and resource utilization
Monitors healthcare service delivery and educates providers and members to improve satisfaction
Identifies and resolves quality issues and discrepancies in provider billing practices
Required Qualifications, Training, and Education
Registered nurse or licensed behavioral health clinician with a current MN license
3 years of related, progressive clinical experience
Proficient in multiple PC-based software applications and systems
Thorough understanding of state and federal regulations and accreditation standards
Demonstrated strong organizational skills and ability to manage priorities