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Utilization Manager - Specialty Therapy Rehabilitative Services

Company: Centene Coproration
Location: Omaha
Posted on: December 4, 2019

Job Description:

Description: Position Purpose: Authorize and review utilization of outpatient and home health occupational, physical and speech therapy. Authorize, direct and monitor care being treated in physical, occupational and speech therapy for medical necessity and appropriateness of care Review plans of care to ensure functional outcomes and use of clinical practice guidelines Ensure compliance with performance measures in regards to appeals and denials Provide support and training to rehabilitation providers, including real time clinical training, consultation and guidance on matters related to service authorization, provision, and evidence based practices Identify areas of concern with regards to deficiencies in the Plan of Care and make appropriate referrals and outreach to assist in improved treatment outcomes Interact with Medical Director or designee to discuss clinical authorization questions and concerns regarding specific cases

Keywords: Centene Coproration, Omaha , Utilization Manager - Specialty Therapy Rehabilitative Services, Executive , Omaha, Nebraska

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