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Philadelphia, PA
…Clinical Pharmacist, review Milliman FWA reports as well as drug utilization reports to ident
Austin, TX
…and improve the patient flow program effectiveness as it relates to utilization review , resou
Westfield, MA
…The Care Management Supervisor leads a team of Case Managers and Utilization Review (UR/UM) N
San Francisco, CA
…and case management within a managed care environment. + Comprehensive knowledge of Utilization
Silver Spring, MD
…healthcare providers to deliver comprehensive care. + Participate in quality, risk, and utilizat
Nellis AFB, NV
…Case Management Society of America (CMSA); American Accreditation Healthcare Commission/ Utilizat
Bay Pines, FL
… programs including peer reviews, open and closed medical record reviews and utilization revie
Tallahassee, FL
…position if current and compliant** + **Certification in Case Management, Nursing, or Utilizatio
…for medical necessity, appropriateness of care and level of care. Use evidence based review gui
…results to include with referral. Applying knowledge related to policy guidelines, utilization