Alignment Health is seeking an inpatient review nurse to join our remote utilization management team. The nurse will collaborate with the patient’s PCP, facility case manager, discharge planner, and contracted providers to ensure appropriate, cost-effective levels of care while maintaining safety and quality.
The role requires a CA LVN/RN license, 3+ years in case management, and experience with Milliman Care Guidelines. Schedule is Mon-Fri 8:00 AM-5:00 PM Pacific Time.
#J-18808-LjbffrJob Description Job Description Description: Responsibilities The CLOP Ombudsman regularly visits privately run, publicly funded Intermediate Care Facilities for Individuals with Developmental Disabilities (ICF-DD), otherwise known as group homes, to protect...
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