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Utilization Management Reviewer (RN) - Multiple Positions! @ Excellus BlueCross BlueShield

Albany, New York, United States of AmericaOnsiteFull-timePosted 15 days ago

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About this role

Embrace the opportunity to become a Utilization Management Reviewer (RN) and play a vital role in ensuring quality care for behavioral health members. Leverage your clinical expertise to review, interpret, and optimize healthcare services, collaborate with providers, and drive compliance. Make a meaningful impact in a dynamic healthcare environment with opportunities for professional growth.. Category: Clinical

Skills

utilization managementclinical reviewbehavioral health servicesphysical health servicesmedical necessity assessmentcase managementcoding standardsmedicare and medicaid knowledgemicrosoft office suitemanaged care benefit plansclinical documentationquality improvementstakeholder managementtraining deliverypresentation skills

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Utilization Management Reviewer (RN) - Multiple Positions! at Excellus BlueCross BlueShield | ResuMinder Jobs