Utilization Management & Quality Review Specialist in Los Angeles, CA for UCLA

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Utilization Management & Quality Review Specialist

DescriptionAs the Utilization Management & Quality Review Specialist, you will be responsible for:Managing service requests and potential quality issue cases, ensuring compliance with regulatory requirements for both utilization management and quality assurance processesEnsuring that all cases are processed within mandated timeframes and that clear, timely communication is provided to all stakeholders.Working closely with medical director, utilization management and quality review team to ensure that all cases are handled effectively.Other duties as assignedSalary Range: $31.45 - $43.17/hourly

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