Alliance Health is seeking a UM Clinical Specialist-LTSS for full-time remote work, NC-based. You will perform utilization reviews and authorizations for I/DD and TBI waivers, ensuring services meet clinical guidelines and are provided in the least restrictive setting.
The role includes care coordination, provider collaboration, and adherence to Medicaid contracts. Qualifications include a Bachelor's in Human Services or equivalent with I/DD experience; a Master's in a related field is also
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