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…must be located in a state or territory of the United States when conducting utilization revie
Chapel Hill, NC
About The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review /Medical and Cas
Nashville, TN
…NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review , th
…based on business needs **** **Preferred Qualifications :** + Managed care/ utilization revi
Peabody, MA
…leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review , an
Berkeley, CA
…and case management within a managed care environment. + Comprehensive knowledge of Utilization
…rehabilitation, 24-hour emergency care, ambulance services and more. Case Management, Utilizatio
Waterford, WI
…predominately in a medical-surgical setting. Case Management, discharge planning, and utilizatio
Lewiston, ME
…patient-centered culture + Strong interdisciplinary collaboration with case management and utili
…critical pathways and outcome measurement preferred. Experience in case management, utilization