Revenue Cycle Managed Services - Utilization Management (UM) / Utilization Revie

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Position Summary

The Utilization Review (UR) / Utilization Management (UM) Lead is responsible for day-to-day leadership of the utilization management program for an assigned healthcare client. The role oversees concurrent review, continued-stay review, admission and level-of-care status, retrospective review, and related appeals, and ensures reviews are timely, criteria-based, and aligned with payer and regulatory requirements.