Medicaid Utilization Review Specialist
Listed on 2026-11-02
-
Social Work
Human Services/ Social Work
Telligen, a respected population health management organization, is seeking a Case Reviewer to authorize Medicaid services through utilization review, policy application, and medical record review. Within the Illinois Tailored Care Management Program, you will assess prospective reviews against criteria, determine care appropriateness, and refer non-conforming cases to a Case Manager Supervisor.
You will collaborate with providers, facilities, and subscribers, document decisions in the workflow
This is a genuine opening to take on the Medicaid Utilization Review Specialist role at Telligen.
The position is based in Oak Brook, IL, United States.
This opportunity is part of our work in Bio & Pharmacology & Health.
The advertised compensation is 37.000 - 45.000.
We aim to respond to suitable candidates as soon as possible.
Full responsibilities and requirements are described in the listing above.
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).