Utilization Management Clinician - Harrisburg, PA

We are seeking a compassionate, clinically skilled professional to join our Utilization Management team. · Apply clinical expertise to review and evaluate treatment plans across various levels of care. · Coordinate, monitor, and assess healthcare service options to ensure members ...

This licensed clinical position is part of the Utilization Management department and is responsible for processing acute and post-acute inpatient and select outpatient higher level of care requests through clinical review and the application of approved medical necessity criteria ...

This clinical position is part of the Utilization Management department and is responsible for processing prior authorization and/or medical claims review (post-service) requests through clinical review and the application of approved medical necessity criteria. · Processes prior ...

This licensed clinical position is part of the Utilization Management department and is responsible for processing acute and post-acute inpatient and select outpatient higher level of care requests through clinical review and the application of approved medical necessity criteria ...

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. · We are seeking a compassionate, clinically skilled professional to join our Utilization Management team. ...

+Job summary · Clinical position in the Utilization Management department responsible for processing prior authorization and medical claims review requests through clinical review and application of approved medical necessity criteria. · +Responsibilities And QualificationsProces ...

This clinical position is part of the Utilization Management department and is responsible for processing prior authorization and/or medical claims review (post-service) requests through clinical review and the application of approved medical necessity criteria. · Processes prior ...

This clinical position is part of the Utilization Management department and is responsible for processing prior authorization and/or medical claims review (post-service) requests through clinical review and the application of approved medical necessity criteria. · ...

+Job summary · The position is part of the utilization management department and is responsible for processing acute and post-acute inpatient requests through clinical review.+ · +Qualifications · - Must have active current and unrestricted Registered Nurse licensure in Pennsylva ...

This licensed clinical position is part of the Utilization Management department and is responsible for processing acute and post-acute inpatient and select outpatient higher level of care requests through clinical review and the application of approved medical necessity criteria ...

This licensed clinical position is part of the Utilization Management department and is responsible for processing acute and post-acute inpatient and select outpatient higher level of care requests through clinical review and the application of approved medical necessity criteria ...

This licensed clinical position is part of the Utilization Management department and is responsible for processing acute and post-acute inpatient and select outpatient higher level of care requests through clinical review and the application of approved medical necessity criteria ...

This licensed clinical position is part of the Utilization Management department and is responsible for processing acute and post-acute inpatient and select outpatient higher level of care requests through clinical review and the application of approved medical necessity criteria ...

This clinical position is part of the Utilization Management department responsible for processing prior authorization and/or medical claims review requests through clinical review and application of approved medical necessity criteria. · Processes prior authorization cases throu ...

This licensed clinical position is part of the Utilization Management department and is responsible for processing acute and post-acute inpatient and select outpatient higher level of care requests through clinical review and the application of approved medical necessity criteria ...

This job is a Utilization Management Clinician for Behavioral Health working fully remotely. The position requires a Master's level behavioral health clinical license and experience in utilization review and management. ...

As the nation's leading health solutions company we reach millions of Americans through our local presence digital channels and more than 300000 purpose-driven colleagues – caring for people where when and how they choose in a way that is uniquely more connected more convenient a ...

Fully remote Utilization Management Clinician Behavioral Health position at CVS Health coordinating utilization/benefit management program using clinical skills. · ...

In the emergency department your work has a crucial impact on the lives of others located at UPMC Community Osteopathic in Harrisburg PA we are a 21-bed emergency room serving a diverse patient population. · ...

We care for a wide variety of patients on our unit, specializing in heart failure but also seeing a range of other diagnoses and a respiratory component. We are a high energy fast paced floor that collaborates with a multi-disciplinary team including RNs LPNs and Nursing Support ...