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Wonderful Center for Health Innovation
Lost Hills, California
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Akron, Ohio
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Vanderbilt Health
Nashville, Tennessee
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Utilization Management Specialist II , Part-Time, Weekends
Job DescriptionWe are seeking a detail-oriented Utilization Management Specialist II to join our healthcare team in Baltimore. In this role, you will be responsible for reviewing and evaluating healthcare services to ensure appropriate utilization of medical resources while maintaining quality patient care standards.Review and evaluate medical necessity of healthcare services using established criteria and guidelinesAnalyze clinical documentation to determine appropriate levels of care and length of stayCollaborate with healthcare providers to ensure optimal patient care deliveryProcess and review authorization requests for medical procedures and treatmentsMonitor and t
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