Utilization Case Manager (remote)

University of Miami

Miami, FL, US
Not specified; not specified; comprehensive benefi...
Fully remote
Timely reviews for services requiring authorization
Accurate review of coverage benefits
Interdepartmental communication regarding status
The incumbent is responsible for completing ongoing reviews for clinical utilization and identifying the need for continued authorization

Job Summary

  • The incumbent is responsible for completing ongoing reviews for clinical utilization and identifying the need for continued authorization.
  • The role requires coordinating with Nurse Case Managers and the Healthcare team to avoid treatment delays and authorization denials.
  • The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, and tuition remission.

Matching Summary

The incumbent is responsible for completing ongoing reviews for clinical utilization and identifying the need for continued authorization.

Salary

Not specified; Not specified; Comprehensive benefits package including medical, dental, tuition remission

Skills & Requirements

Must-have

  • timely reviews for services requiring authorization
  • accurate review of coverage benefits
  • interdepartmental communication regarding status

Nice-to-have

  • proactive communication with healthcare team
  • knowledge of payer reimbursement policies
  • commitment to optimal patient outcomes

Key Requirements

  • Bachelor's degree in relevant field
  • Minimum of 2 years of relevant experience

Work Rights

Not specified

Tailored Resume

Cover Letter