Facility Care Manager/Utilization Management Nurse
Physician Health Partners-Boise, ID, 83701
**** THIS POSITION WILL BE IN Richland WA, Boise ID or Portland OR*** GENERAL SUMMARY OF DUTIES: Review appropriate utilization of medical services, quality of care, risk management and provides intervention for care management. Assist the working committees in utilization and care management. - Review concurrent and retrospective inpatient and/or subacute admissions for utilization based on Milliman Care Guidelines criteria, quality assurance, risk management, and discharge planning needs. - Develop and maintain a good working relationship with the healthcare team, to include correctional ...