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Danville, Pennsylvania

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Rome, Georgia

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Utilization Management Specialist - MSW
Job SummaryAssesses and manages admitted members or patients. Assures delivery of comprehensive, cost-effective, quality care, as well as appropriate allocation of medical resources. Assesses, plans, implements, coordinates, monitors and evaluates all options and services to assure safe transitions of care that will support best outcomes for patients and their families. Assesses for accuracy in the assignment of patient status to reflect congruence with clinical condition, physical intent and utilization review outcomes.Job DutiesCreates plan for care across the continuum, integrating member/patient and family preferences and values.Monitors patient care through assessments, evaluations and records.Advocates for resources and removal of barri


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