Clinical Review Professional

7 days ago


Dumaguete, Central Visayas, Philippines beBeeClinical Full time ₱55,000 - ₱150,000

Utilization Review Specialist Role

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We are seeking a skilled and experienced Utilization Review professional to join our team. As a Utilization Review Specialist, you will be responsible for assessing and interpreting customer needs, requirements, and medical records.

  • Key Responsibilities:
  • Review medical claims for medical necessity
  • Assess and interpret customer needs, requirements, and medical records
  • Analyzing data to identify trends and areas for improvement
  • Providing recommendations to improve the efficiency of the utilization review process

Requirements:

  • Active PHRN and USRN License
  • 1 year Bedside experience, preferably with UR/UM experience
  • Strong analytical and problem-solving skills
  • Excellent communication and interpersonal skills

About the Opportunity

Our organization is a leading provider of innovative solutions to various industries. We value creativity, collaboration, and continuous learning. If you are a motivated and detail-oriented individual who is passionate about delivering high-quality results, we encourage you to apply for this exciting opportunity.



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