Clinical Guide Part A: Utilization Management (Inpatient, Behavioral Health & Post-Acute)
Devoted Health(1 day ago)
About this role
The Clinical Guide Part A at Devoted Health is responsible for inpatient, behavioral health, and post-acute authorization review, ensuring compliance with CMS and Medicare Advantage regulations. The role involves evaluating medical records, treatment plans, and resource utilization to support high-quality, member-centered care, working closely with medical directors and regulatory standards.
Required Skills
- CMS
- Medicare
- Utilization Management
- Inpatient Review
- Behavioral Health
- Post-Acute Care
- Clinical Review
- Health Insurance
- Medical Records
- Regulatory Compliance
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