Offer summary
Qualifications:
Healthcare and behavioral health experience, 1 year of utilization review experience, Familiarity with medical necessity criteria, Strong attention to detail and accuracy, Solid command of relevant software and technologies.
Key responsabilities:
- Evaluate patient records for services necessity
- Analyze utilization data for improvement opportunities
- Communicate with providers, insurance companies, staff
- Monitor authorizations, maintain detailed records
- Prepare and submit reports, attend meetings