CareFirst

Clinical Navigator (Remote)

United States Highlandtown, Baltimore Full Time USD 72,360 - 143,715

Resp & Qualifications PURPOSE: The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the timely and smooth transition from inpatient care to home or other levels of care. Utilizing experience and skills in both care management and utilization management, the Clinical Navigator will leverage proficiency in established MCG, in addition to administrative/regulatory considerations, to determine medical necessity, appropriate level(s) of care, and case managemen…

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