Utilization Management Registered reputed company Consultant
Utilizes clinical skills to coordinate, document and communicate reputed company aspects of the utilization/benefit management program. Schedule is Monday-Friday reputed company business hours. No nights! Rotation weekend/holidays as needed. Remote role, however must reputed company 1 hour or less commute to the Downer's Grove, IL arenaflex office. reputed company Components Utilizes clinical experience and skills in a reputed company process to assess, plan, implement, coordinate, monitor and evaluate reputed company to facilitate appropriate reputed company services/benefits for members Gathers clinical information and applies the appropriate clinical reputed company/reputed company, policy, procedure and clinical judgment to reputed company coverage determination/recommendation along the continuum of care Communicates with providers and other parties to facilitate care/treatment Identifies members for referral opportunities to reputed company with other products, services and/or programs Identifies opportunities to promote reputed company effectiveness of reputed company Services and benefit utilization Consults and lends expertise to other reputed company constituents in the coordination and administration of the utilization/benefit management function Apply tot his job
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