
Healthcare Utilization Expert
1 day ago
Job Title: Utilization Management Specialist
We are seeking a highly skilled and experienced specialist to fill the role of utilization management at a global company.
Key Responsibilities:
- Assess and interpret customer needs, requirements, and medical records for efficient healthcare services.
- Review medical claims for medical necessity to optimize resource allocation.
- Collaborate with healthcare providers to ensure effective utilization of resources and improve patient outcomes.
- Develop and implement strategies to reduce costs and enhance patient satisfaction.
Requirements:
- A valid PHRN and USRN Mainland License.
- A minimum of one year bedside experience, preferably with UR/UM experience.
- Strong analytical and problem-solving skills to drive decision-making.
- Excellent communication and interpersonal skills to foster collaboration.
Benefits:
- The opportunity to work from home in a flexible environment.
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