Healthcare Leadership Expert in Utilization Management
1 week ago
We are seeking a seasoned USRN Healthcare Team Manager to join our team at TASQ Staffing Solutions. As a key member of our healthcare team, you will be responsible for overseeing the utilization management process and ensuring that patients receive the best possible care.
About the Role:
- We offer an estimated annual salary range of $80,000 - $120,000 depending on experience and qualifications.
- You will work onsite in Davao, Philippines, providing exceptional leadership and clinical expertise to our clients.
Key Responsibilities:
- Leadership and Clinical Expertise: You will provide guidance and oversight to ensure that our clients receive high-quality care. This includes managing and developing a team of healthcare professionals to achieve exceptional patient outcomes.
- Utilization Review and Management: You will review medical claims and appeals & grievances, ensuring that all processes align with URAC and NCQA standards.
- Clinical Experience: With a minimum of 2 years of significant clinical experience, you will bring valuable knowledge and expertise to our team.
Requirements:
- A valid Active USRN License is required.
- At least 1 year of leadership experience in Utilization Management is necessary.
- Prior experience in Medical Claims Review or Appeals & Grievance line is preferred but not required.
Benefits:
We offer a comprehensive benefits package including health insurance, paid time off, and professional development opportunities.
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