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Utilization Management Clinical Consultant
Job DescriptionThis is a full-time telework role, but may require occasional travel to the Phoenix, AZ once COVID restrictions are lifted. Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Applies critical thinking and knowledge in clinically appropriate treatment, evidence based care and medical necessity criteria for appropriate utilization of services for Child and Adolescents members.Schedule is Monday-Friday standard business hours in Arizona time. Occasional requirement for coverage during holidays weekend through rotation.Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit manageme


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