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Healthcare Utilization Specialist
2 weeks ago
We are seeking a skilled Healthcare Utilization Specialist to join our team. As a Healthcare Utilization Specialist, you will play a critical role in optimizing healthcare resource allocation.
This position requires strong analytical skills and the ability to work independently. The ideal candidate will have a Bachelor's degree in Nursing and 1+ year of clinical experience.
The key responsibilities of this position include:
- Conducting reviews of patient medical records and identifying opportunities for optimization.
- Collaborating with healthcare providers to develop and implement care plans.
- Providing education to patients and their families on disease management and treatment options.
Compliance with company policies and procedures is essential for success in this role.
Key Requirements:
- Bachelor's Degree in Nursing.
- 1+ years Clinical Experience.
- Active USRN License.
