About this role
Job Description. This position is responsible for coordinating, integrating, and monitoring the utilization of behavioral health (BH) or physical health (PH) services for members, ensuring complian.... Category: Clinical
Now hiring
Utilization Management Reviewer (RN) - Multiple Positions! @ CDPHP (Capital District Physicians' Health Plan)
Albany, New York, United States of AmericaOnsiteFull-timePosted 16 days ago
Opens on the employer's site
Skills
utilization managementclinical reviewbehavioral health servicesphysical health servicesmedical necessity assessmentcase managementmedicare and medicaid knowledgecoding standardsmicrosoft office suiteregulatory complianceclaims researchmanaged care benefit plansaudit participationtraining deliverymentoring
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