Premera Blue Cross is hiring a Utilization Review Clinician to evaluate clinical requests for medical necessity and adherence to criteria and protocols. Reviews may include inpatient, concurrent, and prior authorization, with collaboration across Medical Directors and multiple teams.
You will document thoroughly, meet productivity standards, and stay current on clinical policies and accreditation requirements.
#J-18808-LjbffrRemote Utilization Review Clinician in workfromhome at Unknown Company
This position is listed as full time and onsite.