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Baltimore, MD
**Resp & Qualifications** **PURPOSE:** The Medical Director oversees all activities of utilization
Tulsa, OK
…of statistical methodologies. Extensive knowledge of third-party payer criteria and utilization
… utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Ac
Naples, FL
…for the planning, coordination, and oversight of care management services, including utilization
Ventura, CA
…The ideal candidate is an experienced Mental Health Nurse with a background in utilization rev
Annapolis, MD
…with MCG or Interqual guidelines. + Certification in Case Management, (CCM) or Utilization Rev
…and overseeing clinical/non-clinical activities. Will also be responsible for utilization revi
Philadelphia, PA
…Clinical Pharmacist, review Milliman FWA reports as well as drug utilization reports to ident
Austin, TX
…and improve the patient flow program effectiveness as it relates to utilization review , resou
Westfield, MA
…The Care Management Supervisor leads a team of Case Managers and Utilization Review (UR/UM) N