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Canton, MA
… management and care management principles. Health Plan experience performing utilization revi
…+ Experience Requirements + Previous experience as in homecare, long term care or utilization
Rancho Cordova, CA
…(3) years Utilization experience in health plan/UM operations, acute or subacute utilization
… utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Ac
Columbia, SC
…**Responsibilities:** + May provide any of the following in support of medical claims review an
…experience in medical staff or hospital committees * Strong understanding of utilization revie
…and cost-effective member care. **Essential Job Duties** * Oversees all aspects of utilization
… utilization of health care services. Experience/Qualifications: + Knowledge of utilization r
Hendersonville, NC
…for behavioral health services. Working closely with behavioral health clinicians, utilization
Silver Spring, MD
…of hospitalization, LOC status, LOS management, continued stay decisions, clinical review of pa