Healthcare Professional

5 days ago


Englewood Cliffs, New Jersey, United States HealthEcareers - Client Full time
About the Role

We are seeking a skilled Utilization Management Specialist to join our team at HealthEcareers - Client. As a key member of our healthcare team, you will play a critical role in ensuring the optimal utilization of medical care services for patients.

Key Responsibilities
  • Coordinate Care Services: Develop and implement effective care plans to ensure the best possible outcomes for patients.
  • Manage Utilization: Analyze and interpret data to identify opportunities for improving resource utilization and reducing costs.
  • Collaborate with Healthcare Teams: Work closely with physicians, nurses, and other healthcare professionals to ensure seamless care coordination.
  • Ensure Regulatory Compliance: Stay up-to-date on relevant regulations and ensure that all care services are delivered in accordance with established standards.
Requirements
  • Education: Bachelor's degree in a related field (e.g., nursing, healthcare administration) or equivalent experience.
  • Experience: 3-5 years of experience in a healthcare setting, preferably in utilization management or case management.
  • Certifications: Certification in utilization review or case management is preferred.
  • Skills: Excellent analytical, problem-solving, and communication skills; ability to work in a fast-paced environment.
What We Offer

As a valued member of our team, you will enjoy a competitive salary and benefits package, as well as opportunities for professional growth and development.



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