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Physical Therapy Utilization Review Specialist
Job in
Hingham, Plymouth County, Massachusetts, 02043, USA
Listed on 2026-07-22
Listing for:
Blue Cross Blue Shield of Massachusetts
Full Time
position Listed on 2026-07-22
Job specializations:
-
Healthcare
Healthcare Administration, Healthcare Management
Job Description & How to Apply Below
Blue Cross Blue Shield of Massachusetts is seeking a Physical Therapy Utilization Management Reviewer in Hingham to evaluate outpatient rehabilitation services for medical necessity and appropriateness. You’ll work within a collaborative team to ensure care aligns with clinical guidelines and policies, while independently managing reviews and coordinating with care teams.
Responsibilities include pre-certification, concurrent and retrospective reviews, and ensuring timely, cost-effective plans
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