Need a helping hand? Call our office
helpline for assistance - 888-258-7621
Need a helping hand? Call our office
helpline for assistance - 888-258-7621
Quality Care Partners is strongly committed to improving and maintaining the health of the people we serve by providing excellence in medical management and the premier provider network in Southeastern Ohio. Our mission is to be the focal point of an integrated health care delivery system that promotes cost-effective, quality healthcare through contractual relationships.
We offer an attractive compensation package, including excellent benefits, and ample opportunity for professional development.
Click the link(s) below to view requirements and description of the job.
Role expectations for Utilization Management Nurse includes assessing, organizing, implementing and evaluating the care and utilization across the continuum, to enhance quality patient care while simultaneously promoting cost effective resource utilization. This role performs utilization management, discharge planning, and screens for case management referrals. The Nurse assesses the needs of patients/clients and their significant others, while being aware of outcomes, costs, and processes. The nurse combines the roles of clinician and educator to accomplish desired clinical outcomes.
Download Full Posting Apply NowThis position is responsible for servicing the needs of customers by receiving phone calls, emails and faxes from customers (e.g., members, providers, TPAs, etc.) Have familiarity with various plan benefit designs and direct caller to appropriate resources. Department Assistants do not interpret clinical information.
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Quality Care Partners Is An Equal Opportunity Employer