Clinical Utilization Manager

22 hours ago


Lipa City, Calabarzon, Philippines beBeeUtilization Full time ₱55,000 - ₱155,000

Utilization Management Specialist

 

About the Role:

We are seeking a highly skilled Utilization Management specialist to join our team. The ideal candidate will have expertise in assessing and interpreting customer needs, requirements, and medical records.

 

Key Responsibilities:

  • Review medical claims for medical necessity.
  • Develop and implement effective utilization management strategies to ensure optimal patient outcomes.

 

Required Skills and Qualifications:

  • Active PHRN and USRN Mainland License.
  • 1 year of bedside experience, preferably with UR/UM experience but not required.

 

Work Environment:

Remote work option available.



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