ApplyBlast uses AI to match you with the right jobs, tailor your resume and cover letter, and apply automatically so you can land your dream job faster.

Features

Auto Apply Resume Optimizer Cover Letter Optimizer Interview Prep

Company

Social Media

Need Help?

team@applyblast.com

Case Reviewer at Telligen - ApplyBlast

Case Reviewer

Telligen

6 days ago

3.8 on Glassdoor

Oak Brook, Illinois, United States

Hybrid

Full Time

Junior

0 applicants

View Job Listing

Apply to 100+ jobs

About this role

The Case Reviewer performs utilization review to authorize services for individuals enrolled in Medicaid, applying program policies and verifying eligibility to issue pre-authorization decisions. This role supports the Illinois Tailored Care Management Program by helping individuals with complex health and social needs transition to community-based living. The position requires reviewing medical records and ensuring timely, accurate documentation of care appropriateness.

Responsibilities

Perform utilization review to authorize Medicaid services
Verify medical, technical, and financial eligibility for care
Review medical records to issue pre-authorization decisions

Skills

Qualifications

Bachelor’s degree in health or human services

About Telligen

telligen.com

Headquarters

West Des Moines, Iowa, United States

Company Size

501-1000 employees

Founded

1972

View Profile

Telligen is a health services and solutions company that has delivered proven health programs for federal and state agencies, health plans, employers and unions for more than 50 years. They provide evidence‑based program management, population health and care management, quality improvement, data analytics and technology to drive better outcomes and regulatory compliance. Telligen partners with government and payer organizations to design, implement and evaluate initiatives that lower costs, improve care quality and enhance program performance.