Career Opportunity: Utilization Management Specialist

2 days ago

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

The role requires a highly skilled and experienced professional to assess and interpret customer needs, requirements and medical records.

Key responsibilities include reviewing medical claims for medical necessity and making informed decisions to ensure optimal patient outcomes.

  • Assess and interpret customer needs, requirements and medical records
  • Review medical claims for medical necessity
  • Make informed decisions to ensure optimal patient outcomes

Requirements:

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

We are looking for a qualified candidate who can effectively utilize their skills and experience to make a positive impact in this role.

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