
Utilization Management Professional
2 days ago
We are seeking a highly skilled professional to fill the role of Utilization Management Specialist.
Key Responsibilities:- Assess and interpret customer needs, requirements, and medical records to provide expert-level support.
- Review medical claims for medical necessity to ensure accurate and efficient processing.
The ideal candidate will possess strong analytical skills, excellent communication abilities, and the ability to work independently in a virtual environment.
Required Qualifications:
- Active PHRN and USRN Mainland License.
- One year bedside experience with UR/UM experience preferred but not required.
This is an exceptional opportunity for a motivated individual to contribute to the success of our organization by utilizing their expertise in utilization management.
Benefits:
- Contribute to a dynamic team dedicated to providing high-quality healthcare services.
- Enjoy a comprehensive benefits package that includes competitive salary, paid time off, and opportunities for professional growth and development.
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Human Resource Manager
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