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Regional Economic Community Action Program, Inc.

Clinical Utilization & Authorization Specialist

city of middletown, NY

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About this opportunity

Regional Economic Community Action Program, Inc. lists this Clinical Utilization & Authorization Specialist opportunity in city of middletown, New York. Review the employer’s description below for duties, qualifications and application requirements.

Job description

Regional Economic Community Action Program, Inc. is seeking a detail-oriented Utilization Review Specialist to ensure clinical services are medically necessary, authorized, and compliant with NY OASAS, Medicaid Managed Care, and payer guidelines.

The role covers utilization management, clinical documentation review, revenue cycle support, and quality improvement across two NY-certified programs. The position requires collaboration with clinical staff, billing, managed care organizations, and

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