
Patient Care Advocate
17 hours ago
The role of a Utilization Management specialist involves assessing and interpreting customer needs, requirements, and medical records to ensure the best possible outcomes for patients.
Key Responsibilities:
- Reviewing medical claims for medical necessity to provide accurate and timely information to customers
- Coordinating patient care by working closely with healthcare providers to ensure seamless transitions
Requirements:
- A valid PHRN and USRN Mainland License to practice
- At least 1 year of bedside experience, preferably with UR/UM experience, but not required for consideration
Benefits of this Role:
- Promoting patient satisfaction through effective utilization management
- Developing strong relationships with healthcare providers to improve patient outcomes
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