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A company is looking for a Utilization Review Clinician - Behavioral Health.Key ResponsibilitiesEvaluate member's treatment for mental health and substance abuse to ensure medical appropriatenessPerform prior authorization reviews and concurrent...

A company is looking for a RN Call Center Obstetrics - Remote from a Compact State.Key ResponsibilitiesConduct telephonic assessments with obstetric patients and provide care coordinationEducate patients and families about treatment and services,...

A company is looking for a Utilization Management Nurse.Key ResponsibilitiesCoordinate and facilitate correct identification of patient statusConduct concurrent and retrospective reviews and support the medical necessity denial and appeal...

A company is looking for a Registered Nurse Coding Auditor - HCS-D, COS-C - Full Time.Key ResponsibilitiesValidates Acute Inpatient coded charts for accurate diagnostic information and complianceConducts coding audits and reviews...