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UTILIZATION REVIEW SUPERVISOR
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Responsibilities:
- Pull, sort, and analyze data for program eligibility.
- Coordinate care that is timely, effective, safe, and member-centric.
- Manage case assignments including outreach and documentation.
Qualifications:
- Current IL Registered Nurse License.
- Experienced in Case Management and Chronic Condition Management.
- Knowledge of utilization review and managed care.
Benefits:
- Work from Home
- Paid parental leave
Guidehealth
Guidehealth is a data-powered healthcare company dedicated to operational excellence. They aim to make healthcare affordable and improve patient health, employing remotely-embedded Healthguides™ and a Managed Service Organization to build stronger connections with patients and providers.