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RN Care Manager This role is up to 85% remote, with occasional in-person field visits to members as needed. This structure is subject to change based on business and operational requirements. The RN Care Manager (RNCM)
Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases
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