Sheppard Pratt Careers
Towson, US · On-site · Full-time
Utilization Management Clinical Specialist
₹102.5L – ₹102.5LPosted 1 month ago
- Location
- Towson, US
- Work mode
- On-site
- Employment
- Full-time
- Salary
- ₹102.5L – ₹102.5L
- Experience
- Mid-level
What to expect: Provides timely, comprehensive utilization reviews for behavioral health services for Sheppard Pratt patients. Conducts medical reviews for inpatient and partial hospitalization programs, maintains accurate documentation within hospital data systems, and communicates effectively with internal stakeholders and external agencies. Coordinates with Medicare, Medicaid, and Commercial Health Plans to ensure compliance with CMS (Centers for Medicare & Medicaid Services), Maryland Medic…
Sheppard Pratt Careers
Posted via Adzuna
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