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Remote Utilization Review Specialist (I/DD/TBI
Remote / Online - Candidates ideally in
Winston-Salem, Forsyth County, North Carolina, 27101, USA
Listed on 2026-08-10
Winston-Salem, Forsyth County, North Carolina, 27101, USA
Listing for:
Alliance Health in
Full Time, Remote/Work from Home
position Listed on 2026-08-10
Job specializations:
-
Healthcare
Healthcare Administration
Job Description & How to Apply Below
Alliance Health is seeking a UM Clinical Specialist-LTSS for full-time remote work, NC-based. You will perform utilization reviews and authorizations for I/DD and TBI waivers, ensuring services meet clinical guidelines and are provided in the least restrictive setting.
The role includes care coordination, provider collaboration, and adherence to Medicaid contracts. Qualifications include a Bachelor's in Human Services or equivalent with I/DD experience; a Master's in a related field is also
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