Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Providequality cost-effective care to all members by evaluating the needfor and pre-authorizing requests for inpatient, outpatient,specialty care, home care, DME, and transportation services, fromnetwork and out of network providers, in accordance withdepartmental criteria and guidelines. managed care nurse, managedcare rn, nursing, rn, nurse, care management
