Utilization Review Jobs in Modesto, CA

Provides utilization management functions as a part of the Program for All Inclusive Care for the Elderly benefits management system. This includes providing utilization review and management for all acute post-acute and outpatient services as well as performing the identification analysis and resol...

Review service plan requests from case managers daily a. Ensure plans are detailed and comprehensive i. Communicate with case managers in writing and by telephone to obtain information provide technical assistance and resolve service plan/ client issues. ii. Review client files for information rel...