Utilization Management Specialist

covenanthealth.jobs

Remote
Remote
Utilization management specialist
Healthcare utilization review
Medical necessity review
This is a remote position, offering flexibility in work location

Job Summary

  • This is a remote position, offering flexibility in work location.
  • The role involves reviewing clinical documentation to determine medical necessity.
  • Responsibilities include managing the prior authorization process for patient care.

Matching Summary

This is a remote position, offering flexibility in work location.

Skills & Requirements

Must-have

  • utilization management specialist
  • healthcare utilization review
  • medical necessity review
  • prior authorization process
  • clinical documentation review

Nice-to-have

  • excellent communication skills
  • detail-oriented approach
  • team collaboration

Key Requirements

  • RN license required
  • 3+ years of experience
  • Familiarity with insurance guidelines

Work Rights

Not specified

Tailored Resume

Cover Letter