Behavioral Health Utilization Reviewer Job at Blue Cross Blue Shield of Massachusetts, Hingham, MA

  • Blue Cross Blue Shield of Massachusetts
  • Hingham, MA

Job Description

Blue Cross Blue Shield of Massachusetts, Inc. is seeking a Clinical Utilization Reviewer to support members with complex health needs by authorizing appropriate services and promoting high-quality care. The role blends independent work with team collaboration to apply medical necessity criteria and internal policies. The reviewer will conduct pre-certification, concurrent, and retrospective reviews across inpatient and partial hospitalization settings, emphasizing discharge planning and #J-18808-Ljbffr

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