CareCore National - Bluffton, SC

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Conduct day-to-day function of utilization review
  • Provide resource in the management of complex cases and/or clinical issues
  • Assist in development of training materials for practitioner, cient and member orientation
  • Review Treatment Plan requests for care and formulate appropriate and consistent clinical review decisions

  • Full-time Chiropractor needed as a Case Manager, Clinical Peer Reviewer. The position is responsible for performing utilization review of chiropractic services provided to health insurance plan members. This is a virtual job and requires excellent computer and verbal skills. Must have an active and unrestricted license to practice.

    About this company
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    Since 1994, CareCore National has provided comprehensive, customized programs to health plan clients that seek to manage appropriate...