Clinical Utilization Reviewer

11 hours ago

Cavite City, Calabarzon, Philippines beBeeClinicalUtilization Full time ₱140,000
Job Title: Clinical Utilization Reviewer

Evaluate and screen potential admissions to our healthcare facility. This entails conducting thorough assessments of patients to ensure they are receiving the appropriate level of care for their condition.

The goal is to assess the medical necessity of services provided, ensuring that treatments align with patient needs and available resources.

Responsibilities:

  • A minimum of 1 year of experience in a hospital setting is required.
  • Active licensure as a PHRN & USRN is mandatory.
  • Proficiency in Microsoft Office applications is necessary.
  • The ability to prioritize tasks, manage multiple responsibilities, and maintain accurate records is crucial.

Requirements:

  • Solid communication skills, both written and verbal, are essential for this role.
  • A stable internet connection with at least 50MBPS speed is required for efficient performance.

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