- Covenant Health (Lewiston, ME)
- …experience in utilization review , discharge planning, social work case management, or Utilization Manager experience preferred. + Certification ... Summary The UR Case Manager conducts medical necessity reviews...or Advanced Beneficiary Notice (ABN) in collaboration with the Utilization Review Manager . + Documents… more
- Elevance Health (South Portland, ME)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians.… more