Healthcare Utilization Manager
7 days ago
**Job Overview:** Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market.
We are seeking a Healthcare Utilization Manager to join our team. As a Healthcare Utilization Manager, you will be responsible for managing the utilization of healthcare resources to ensure that patients receive the most effective and efficient care possible.
Responsibilities:
- Manage the utilization of healthcare resources to ensure that patients receive the most effective and efficient care possible.
- Develop and implement effective communication strategies to ensure seamless collaboration with all stakeholders.
- Work closely with healthcare providers, members, and an internal team to ensure medically appropriate, high-quality, cost-effective care.
- Maintain up-to-date knowledge of relevant laws, regulations, and industry developments.
Requirements:
- Current, unrestricted RN license or a compact license from specified states.
- Three years of clinical experience in a healthcare setting.
- Two years of experience in medical review or utilization management.
- Knowledge of utilization review, Medicare, utilization management, and EMR systems.
Estimated Salary: $85,000 - $120,000 per year (dependent on location)
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