Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) – REMOTE

Job Summary Provides support for member services review assessment activities for a specific area of specialty. Responsible for ensuring that services are medically necessary, align with established clinical guidelines, insurance policies, and regulations, and that members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Analyzes clinical service requests…