
Clinical Review Professional
7 days ago
Utilization Review Specialist Role
">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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