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North Carolina Licensed Care Manager
North Carolina Licensed Care ManagerVirtualVocations • Reno, Nevada, United States
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North Carolina Licensed Care Manager

North Carolina Licensed Care Manager

VirtualVocations • Reno, Nevada, United States
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

A company is looking for an Episodic Care Manager - Medicare Advantage.

Key Responsibilities

Perform clinical reviews to assess and coordinate healthcare services based on medical necessity and benefits

Collaborate with providers and internal staff to ensure high-quality, cost-effective care delivery

Document clinical evaluations and communicate outcomes effectively to relevant stakeholders

Required Qualifications

Registered Nurse (RN) with 3 years of clinical experience or Licensed Practical Nurse (LPN) with 5 years of clinical experience

Must hold a valid and applicable clinical license (NC or compact multi-state licensure)

Experience in clinical evaluation and documentation

Ability to interpret and analyze clinical information

Familiarity with medical policies, benefits, and care guidelines

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Care North Carolina • Reno, Nevada, United States

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