Care Review Clinician - Miami, FL

Only for registered members Miami, FL, United States

6 days ago

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Job summary

The Care Review Clinician works with the Utilization Management team to review and evaluate members requiring hospitalization or procedures, providing prior authorizations and/or concurrent review.

Responsibilities

  • Provides concurrent review and prior authorizations according to policy for members as part of the Utilization Management team.
  • Identifies appropriate benefits, eligibility, and expected length of stay for members requesting treatments and/or procedures.

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