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Clinical Guide Part A: Utilization Management (Inpatient, Behavioral Health & Post-Acute) at Devoted Health - ApplyBlast

Clinical Guide Part A: Utilization Management (Inpatient, Behavioral Health & Post-Acute)

Devoted Health

8 months ago

3.7 on Glassdoor

Remote

Full Time

Senior

1 applicant

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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.

Skills

About Devoted Health

devoted.com

Headquarters

Waltham, Massachusetts, United States

Company Size

1001-5000 employees

Founded

2017

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Devoted Health is a U.S.-based Medicare Advantage provider offering plans with comprehensive benefits. Plans include prescription drug coverage, dental and vision care, over-the-counter allowances, and hearing services, along with tools to find doctors and manage benefits. The company emphasizes patient navigation and a U.S.-based service team to help members understand and use their benefits.