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Managed Care Nursing

Category - Overview

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Who is a person who acts on behalf of the member for problem-solving concerns or complaints with the MCO Plan?

Patient advocate
Ombudsman
Network advocate
MCO advocate

Explanation

Answer: B - An ombudsman acts on behalf of a member to assist in problem-solving, concerns and/or complaints with an insurance plan.

This role can be someone who works for the MCO or an outside entity. Many states have Ombudsman programs.

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