- Excellus BlueCross BlueShield (Rochester, NY)
- …generated by Customer Advocacy (CAU), Customer Service (CS), Special Investigations Unit (SIU), Provider Relations (PR), or Sales & Marketing. + Ensuring all ... Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse, Medical Director , Pharmacist, Geriatrics, etc.) to ensure continuity and coordination… more
- Commonwealth Care Alliance (Boston, MA)
- …staff, including nurse reviewers and support personnel. * Act as liaison with medical director , provider relations , case management and quality teams to ... Duties & Responsibilities: The Manager, Utilization Management reports to the Director of Utilization Management * Oversees clinical decision review for services… more