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Utilization Review Manager

grand rapids, mi • Posted 6 days ago
Onsite Full Time General

Utilization Review ManagerThe Utilization Manager is responsible for directing and overseeing the Utilization Program for Inpatient and Outpatient services. This includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients, oversees the response to requests for services and interfaces with managed care organizations, external reviewers, and other payors.Qualifications Job Requirements:Education: Bachelor's Degree required.Experience: A minimum of three years' experience in Utilization Management Required.License: State of Michigan licensure as LLP, LPC, LLPC LMSW, LLMSW, or Registered Nurse RN.

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