Reporting to the Sr. Director, Utilization Management, the role of the Director, Commercial Utilization Management is critical to the success...
The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards...
The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination...
The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for...
The Behavioral Health (BH) Utilization Management (UM) team performs prospective, concurrent, retrospective utilization reviews and first...
The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards...
Reporting to the Sr. Director, Utilization Management, the role of the Director, Medicare & Medi-Cal Utilization Management is critical to the...
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