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PT Utilization Review Specialist – Care Coordination

Job in Hingham, Plymouth County, Massachusetts, 02043, USA
Listing for: Blue Cross and Blue Shield of Massachusetts Inc.
Part Time position
Listed on 2026-07-17
Job specializations:
  • Healthcare
Salary/Wage Range or Industry Benchmark: 58107 - 71029 USD Yearly USD 58107.00 71029.00 YEAR
Job Description & How to Apply Below

Blue Cross Blue Shield of Massachusetts is seeking a Physical Therapy Utilization Management Reviewer to evaluate outpatient rehabilitation services for medical necessity and adherence to clinical guidelines. You will work within a team to promote efficient, evidence-based care aligned with member benefits.

The role involves pre-certification, concurrent and retrospective reviews, care coordination, and collaboration with treating providers to gather essential information while ensuring

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