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Mount Sinai Health System
Overview
The role involves coordinating clinical information requests from third-party payers and supporting utilization management for patient admissions and stays. It also includes tracking concurrent adverse determinations and collaborating with the Appeals Management Department to handle retrospective denials.
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Compensation
Salary not listed
Posted
24 days ago
CareSource
The Nurse Care Manager provides care coordination including in-home assessment, planning, facilitation, advocacy, and authorization of covered plan services to meet member health needs while promoting quality cost-effective outcomes. This involves ensuring consistent care across the continuum, collaborating with various stakeholders, and assessing members for ongoing eligibility for services.
$100,000 - $160,000 / YEAR
3 months ago