About the job
Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies and guidelines. Assists evaluating inpatient services to validate the necessity and setting of care being delivered to the member. Key Details: This position highly prefers MO RN Licensurewith post acute care experience and/or utilization review experience. Performs concurrent reviews…
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