* Provide consistent high-quality DRG-based clinical reviews within the Optum Enterprise Innovative DRG Clinical Review program and be an excellent...
* Clinical leadership within Optum Serve and reports to the Chief Medical Officer, Community Care Services. They collaborate with the CEO, Community...
* Assists in development and maintaining an efficient UM program to meet the needs of the health plan members and commensurate with company values...
* Perform utilization review determinations for oncology populations, and support case and disease management teams to achieve optimal clinical...
* Lead, supervise and coach a team of regulatory professionals and be responsible for the development of direct reports * Contribute to strategy...
Provides competent clinical nursing care consistent with professional standards. Reporting and accountable to the Nurse Manager/Director...
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