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RN Case Manager

Epitec, Inc.
Albuquerque, New Mexico, 87113
This position is responsible for performing concurrent review in accordance with accepted department criteria; performing discharge planning and identifying alternate treatment programs; conducting episodic case management, consulting and collaborating with providers, members, and other resources as appropriate; assessing, planning, and implementing options and services require to meet an individu

Registered Nurse (RN)

Epitec, Inc.
Detroit, Michigan, 48226
Utilization Management Medicare Advantage Post-Acute Care RN *Training will be onsite for first 2 weeks, then fully remote. Summary: Use established medical policy and guidelines to perform prospective, concurrent, and retrospective medical necessity review of post-acute care services to ensure medical necessity for appropriate setting, appropriate length of stay, including appeal requests initiat