Be a resource for CCAs members by providing accurate and timely responses to their benefit and health plan questions. Respond and effectively triage member phone calls to accurately route to appropriate area. Work with care management team to address the needs of members, caregivers and other CCA constituents. Conduct all follow up activities in a timely and accurate mann

Why This Role is Important to Us The Nurse Utilization Management (UM) Reviewer is responsible for day to day timely clinical and service authorization review for medical necessity and decision making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA meets CMS compliance standards in the area of service decisions and organizational determinations.

Be a resource for CCAs members by providing accurate and timely responses to their benefit and health plan questions. Respond and effectively triage member phone calls to accurately route to appropriate area. Work with care management team to address the needs of members, caregivers and other CCA constituents. Conduct all follow up activities in a timely and accurate mann

Be a resource for CCAs members by providing accurate and timely responses to their benefit and health plan questions. Respond and effectively triage member phone calls to accurately route to appropriate area. Work with care management team to address the needs of members, caregivers and other CCA constituents. Conduct all follow up activities in a timely and accurate mann

Be a resource for CCAs members by providing accurate and timely responses to their benefit and health plan questions. Respond and effectively triage member phone calls to accurately route to appropriate area. Work with care management team to address the needs of members, caregivers and other CCA constituents. Conduct all follow up activities in a timely and accurate mann

Respond and effectively triage member phone calls in order to accurately and timely route to appropriate area Work with care management team to address the needs of members, caregivers and other CCA constituents Provide timely and accurate information regarding member benefits and services including Continuity of Care Meticulously document all member and prospective membe

Be a resource for CCAs members by providing accurate and timely responses to their benefit and health plan questions. Respond and effectively triage member phone calls to accurately route to appropriate area. Work with care management team to address the needs of members, caregivers and other CCA constituents. Conduct all follow up activities in a timely and accurate mann

Be a resource for CCAs members by providing accurate and timely responses to their benefit and health plan questions. Respond and effectively triage member phone calls to accurately route to appropriate area. Work with care management team to address the needs of members, caregivers and other CCA constituents. Conduct all follow up activities in a timely and accurate mann

Be a resource for CCAs members by providing accurate and timely responses to their benefit and health plan questions. Respond and effectively triage member phone calls to accurately route to appropriate area. Work with care management team to address the needs of members, caregivers and other CCA constituents. Conduct all follow up activities in a timely and accurate mann

Be a resource for CCAs members by providing accurate and timely responses to their benefit and health plan questions. Respond and effectively triage member phone calls to accurately route to appropriate area. Work with care management team to address the needs of members, caregivers and other CCA constituents. Conduct all follow up activities in a timely and accurate mann

Be a resource for CCAs members by providing accurate and timely responses to their benefit and health plan questions. Respond and effectively triage member phone calls to accurately route to appropriate area. Work with care management team to address the needs of members, caregivers and other CCA constituents. Conduct all follow up activities in a timely and accurate mann

Be a resource for CCAs members by providing accurate and timely responses to their benefit and health plan questions. Respond and effectively triage member phone calls to accurately route to appropriate area. Work with care management team to address the needs of members, caregivers and other CCA constituents. Conduct all follow up activities in a timely and accurate mann

Be a resource for CCAs members by providing accurate and timely responses to their benefit and health plan questions. Respond and effectively triage member phone calls to accurately route to appropriate area. Work with care management team to address the needs of members, caregivers and other CCA constituents. Conduct all follow up activities in a timely and accurate mann

Be a resource for CCAs members by providing accurate and timely responses to their benefit and health plan questions. Respond and effectively triage member phone calls to accurately route to appropriate area. Work with care management team to address the needs of members, caregivers and other CCA constituents. Conduct all follow up activities in a timely and accurate mann

Be a resource for CCAs members by providing accurate and timely responses to their benefit and health plan questions. Respond and effectively triage member phone calls to accurately route to appropriate area. Work with care management team to address the needs of members, caregivers and other CCA constituents. Conduct all follow up activities in a timely and accurate mann