Utilization Management Specialist

2 days ago


San Fernando, Central Luzon, Philippines beBeeUtilization Full time ₱55,000 - ₱155,000
Utilization Management Specialist

Job Description:

We are seeking a skilled Utilization Management Specialist to join our team. The ideal candidate will have excellent analytical skills, strong communication abilities, and the ability to work independently.

Responsibilities:

  • Assess customer needs and medical records to determine medical necessity.
  • Review medical claims for accuracy and completeness.
  • Communicate with healthcare providers to resolve discrepancies.

Requirements:

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

Benefits:

  • Work from home flexibility.
  • Ongoing training and professional development opportunities.

This is an exciting opportunity to join a dynamic team and make a meaningful contribution to our organization's mission.



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