Utilization Management Professional

2 days ago


Cabuyao, Calabarzon, Philippines beBeeUtilization Full time ₱55,000 - ₱155,000
Job Title: Utilization Management Specialist

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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