Utilization Management Professional

2 days ago

Manila, National Capital Region, Philippines beBeeUtilization Full time ₱55,000 - ₱155,000
Utilization Management Specialist

We are seeking a skilled Utilization Management Specialist to excel in assessing and interpreting customer needs, requirements, and medical records.

  • Review medical claims for medical necessity and accuracy
  • Evaluate customer needs and assess medical records to ensure effective utilization management processes
  • Collaborate with cross-functional teams for efficient communication and process implementation

Requirements:

  • Active PHRN license and USRN Mainland License
  • At least 1 year of bedside experience, preferably with UR/UM background

Essential Skills:

  • Strong analytical and problem-solving skills for accurate decision making
  • Excellent communication and interpersonal skills for effective collaboration

Benefits:

This role offers the opportunity to work with a dynamic team, develop valuable skills, and contribute to the success of our organization. Our ideal candidate will be a dedicated professional with a passion for delivering high-quality results.

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