Utilization Review Nurse
Blue Cross Blue Shield of Massachusetts
Blue Cross Blue Shield of Massachusetts, a leading not-for-profit health plan, seeks a Clinical Utilization Reviewer to facilitate care for members with complex needs and to authorize services at the right level of care. The role emphasizes independent work, collaboration with clinicians, and adherence to medical policies to promote efficient, high-quality member care. Responsibilities include pre-certification, concurrent and retrospective reviews at inpatient programs, discharge planning #J-18808-Ljbffr
Vacancy posted 1 day ago
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