PacificSource is seeking a dedicated Health Services professional to oversee utilization management and coordinate care for members in South Carolina. This role partners with physicians, nurses, social workers, and other professionals to ensure quality and cost-effective outcomes.
The ideal candidate holds an RN license with case management experience and a strong understanding of medical and behavioral health processes, ICD/CPT coding, and HIPAA compliance. Travel ~5% is required.
#J-18808-LjbffrImpactful Utilization Management Clinician - Remote in workfromhome at Unknown Company
This position is listed as full time and onsite.