Remote- Care Management Coordinator Registered Nurses
About this role
Remote- Care Management Coordinator Registered Nurses
Remote- Care Management Coordinator RN needed for a contract (3 months) opportunity with Yoh’s client located in Philadelphia or surrounding PA area. This is a work from home position.
RN will work on Infusion Therapy Team. Candidates would have outpatient experience, chemotherapy, office, or infusion center. Best would be prior authorization experience.
What You’ll Be Doing: Evaluate a member’s clinical condition through the review of medical records. Directly interacts with providers to obtain additional clinical information. Utilizes resources such as InterQual, Care Management Policy, Medical Policy, and Electronic Desk References to determine the medical appropriateness of the proposed plan. Contacts servicing providers regarding treatment plans/plan of care and clarifies medical need for services.
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