- Cambia Health Solutions, Inc (Portland, OR)
- …our Clinicians provide utilization management (such as prospective concurrent and retrospective review ) to best meet the member's specific healthcare needs ... Behavioral Health Utilization Management Clinician Work from home...and responsibilityWhat You Will Do at Cambia: Performs comprehensive utilization management reviews, encompassing prospective, concurrent, and retrospective… more
- Centene Corporation (Columbus, OH)
- …BUT MUST RESIDE IN STATE OF OHIO **Position Purpose:** Performs a post-service retrospective review of member medical records and assessing care related to ... with quality, cost efficiency and within compliance. + Performs a post-service retrospective review of member's medical records provided against guidelines to… more
