Your Role The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing...
The Licensed Clinician, Senior (Board Certified Behavioral Analyst) conducts utilization reviews and care management for members seeking...
Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first...
Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations...
The Manager, Utilization Management Nurse Management leads a team within the Facility Compliance Review unit to ensure contract compliance...
Your Role The Behavioral Health Utilization Management team performs prospective utilization review for our members and correctly applies...
The Senior Utilization Management Nurse conducts retrospective clinical reviews of inpatient psychiatric claims to ensure medical necessity...
Your Role The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing...
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