Clinical Utilization Manager Lead Role - Join us Today! - Oklahoma City - beBeeManagedCare

    beBeeManagedCare
    beBeeManagedCare Oklahoma City

    1 week ago

    Job title: Medical Director, Medical Management

    Description

    Job Summary:

    This position is part of a team responsible for ensuring that utilization management responsibilities are performed according to the highest and most current clinical standards. The incumbent reviews escalated cases electronically using Medical Policy criteria sets, evaluating medical necessity and appropriateness of requested treatments or services. Depending on case nature, telephonic peer-to-peer discussions may be required.


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