
Licensed Clinician, Senior
Job Description
The Commercial Utilization Management team manages accurate and timely authorization of designated healthcare services, continuity or care, and access to care clinical review determinations. The Utilization Management Genetic Counselor will report to the Manager, Utilization and Medical Review. In this role you will be part of a dynamic team responsible for prior authorization and post service medical reviews. You will ensure members receive appropriate services at the right level of care, at the right time, medically necessary, and within their benefit.