RN Utilization Management Specialist
Blue Cross Blue Shield of Massachusetts
Blue Cross Blue Shield of Massachusetts is seeking a Clinical Utilization Reviewer who will support members with complex healthcare needs by authorizing medically necessary services at the correct level of care. The role is self-directed, working independently and with teams to apply clinical skills, managed care principles, and company policies to foster efficient and appropriate care. You will participate in pre-certification, concurrent and retrospective reviews, evaluate clinical status, and #J-18808-Ljbffr Blue Cross Blue Shield of Massachusetts
Vacancy posted 2 days ago
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