Utilization Management Specialist

1 day ago


Pasay, National Capital Region, Philippines beBeeUtilization Full time ₱55,000 - ₱155,000
">Utilization Management Professional">">

We are seeking an experienced Utilization Management professional to support our operations.

">Key Responsibilities:">
  • ">
  • Assess and interpret customer needs, requirements, and medical records to ensure optimal outcomes.">
  • Review medical claims for medical necessity to validate coverage and adherence to policy guidelines.">
">

The ideal candidate will possess active licensure in the relevant jurisdiction and a minimum of 1 year experience in bedside care. They will be able to work effectively from home, communicating with customers to understand their needs and requirements.

">Requirements:">

A successful candidate must have

">
  • ">
  • Active PHRN license;">
  • USRN Mainland License;">
  • At least 1 year bedside care experience;">
  • Prior experience in UR/UM is preferred but not required.">
">

This role offers flexibility to work remotely while maintaining effective communication with customers.

">

An opportunity to apply your skills and expertise in Utilization Management

">

Benefits include working from home

">

Flexibility

">

Communication skills

">

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