Healthcare Utilization Review Specialist

1 week ago


Detroit, Michigan, United States LanceSoft Full time
Job Title: Healthcare Utilization Review Specialist

We are seeking a highly skilled and experienced Healthcare Utilization Review Specialist to join our team at LanceSoft.

About the Role:
  • Perform thorough reviews of inpatient, outpatient, ambulatory, and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service, and level of care.
  • Establish care plans and coordinate care through the healthcare continuum, including member outreach assessments.
Requirements:
  • Above-average computer skills (Microsoft Office) and experience with clinical software.
  • Prior experience in ICU, ER, or medical surgical unit is preferred.
  • Utilization management experience is also a plus.
  • This role can be performed remotely, with occasional on-site meetings and training sessions.
Compensation:

$83,000 - $120,000 per year, depending on experience.

About Us:

LanceSoft is a dynamic and innovative company dedicated to providing top-notch services in healthcare utilization review. We offer a competitive salary, comprehensive benefits package, and opportunities for professional growth and development.



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