Excellus BCBS in New York is seeking a Utilization Management professional to coordinate the use of physical health services for members, applying clinical criteria and policies to determine care appropriateness.
You will collaborate with Case Management, providers, and hospital teams, participate in on-call coverage, and ensure adherence to regulatory standards while supporting efficient care delivery.
#J-18808-LjbffrRN Utilization Management Reviewer - LTSS & Duals (Remote) in workfromhome at Unknown Company
This position is listed as full time and onsite.