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USRN Case Manager – Utilization Management
Location
Philippines
Posted
75 days ago
Salary
0
Seniority
Senior
Job Description
USRN Case Manager – Utilization Management
Limitlessli
• Assess, plan, coordinate, and monitor patient care • Collaborate with physicians, interdisciplinary teams, patients, and families • Develop individualized care plans • Facilitate care across the continuum • Ensure compliance with HIPAA, regulatory standards, and internal policies
Job Requirements
- Active US Registered Nurse (RN) license
- Experience in case management, utilization review, or managed care preferred
- Strong understanding of managed care principles and healthcare systems
- Familiarity with clinical guidelines such as InterQual, Milliman, or similar is an advantage
- Excellent communication, coordination, and documentation skills
- Strong organizational skills with the ability to manage multiple cases
- Proficiency in Microsoft Office and clinical documentation systems
Benefits
- Remote work flexibility
- Collaborate with an international team
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