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- Molina Healthcare (Savannah, GA)
- …+ 3 or more years in case, disease or utilization management; managed care; or medical/ behavioral health settings. + 3 or more years in a training, auditing ... years in case, disease or utilization management; managed care; or medical/ behavioral health settings. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** :… more
- Highmark Health (Atlanta, GA)
- …effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource ... utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and… more
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