Episodic Care Manager at Pharmaceutical Company in Durham, North Carolina, United States —
- Pharmaceutical Company
- Durham, North Carolina, United States USA
- 8/13/19 2019-08-13
Job ID: 60237
Episodic Care Manager
The Episodic Care Manager is responsible for performing medical reviews to assess, facilitate, and coordinate the delivery of care across the Health Care System. The Episodic Care Manager acts as a member advocate to promote and coordinate the delivery of quality, cost effective health care services based on medical necessity and contractual benefits. In addition, the Episodic Care Manager coordinates with providers and consumers to support the delivery of high quality care across the health care system.
RN preferred, "MUST" have critical care experience, working in a hospital on the floor experience, hands on.
They must have broad clinical experience.
Prior insurance experience preferred