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PT Utilization Review Specialist
Job in
Hingham, Plymouth County, Massachusetts, 02043, USA
Listed on 2026-07-22
Listing for:
Blue Cross and Blue Shield of Massachusetts Inc.
Part Time
position Listed on 2026-07-22
Job specializations:
-
Healthcare
Physical Therapy
Job Description & How to Apply Below
The Physical Therapy Utilization Management Reviewer at Blue Cross Blue Shield of Massachusetts evaluates outpatient rehabilitation services to ensure medical necessity and alignment with clinical guidelines. This role supports efficient care by reviewing plans of care and collaborating with providers within a managed care framework.
The position combines independent work with team collaboration, requiring 3–5 years of relevant experience, DPT/MSPT/BSPT credentials, and MA licensure within six
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