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Medix is looking to hire a FULLY REMOTE UM RN - Utilization Service Coordinator to join a private non-profit healthcare maintenance organization based in Denver, CO. Under the supervision of the Supervisor of Behavioral Health Utilization Management, the Utilization Service Coordinator is responsible for all components of Utilization Review for the organization. Identifies members through the review process that are eligible for intensive case management. Makes referrals as appropriate to community resources and agencies. Works in collaboration with other teams within the Coordinated Clinical Services department to facilitate efficient administration of departmental policies and procedures. Responsible for applying criteria and/or guidelines specific to authorization reviews.
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