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Utilization Review Specialist

1 month ago


Smyrna, Georgia, United States ridgeview institute smyrna Full time
About the Role

We are seeking a highly skilled Utilization Review Specialist to join our team at Ridgeview Institute Smyrna. As a key member of our healthcare team, you will play a critical role in ensuring the quality and cost-effectiveness of patient care.

Key Responsibilities
  • Review patient treatment plans to ensure they are medically necessary and cost-effective.
  • Collaborate with healthcare providers to advocate for patients and ensure they receive the best possible care.
  • Analyze medical records and data to identify trends and areas for improvement.
  • Develop and implement strategies to reduce healthcare costs and improve patient outcomes.
  • Communicate effectively with patients, families, and healthcare providers to ensure seamless care coordination.
Requirements
  • Bachelor's or Master's degree in a related field, such as social work, mental health, or nursing.
  • Minimum of two years of experience in a healthcare setting, preferably in utilization review or case management.
  • Excellent communication and interpersonal skills, with the ability to work effectively with diverse stakeholders.
  • Strong analytical and problem-solving skills, with the ability to interpret complex data and develop effective solutions.
What We Offer
  • A dynamic and inclusive work environment that values diversity and promotes professional growth.
  • A competitive salary and benefits package, including 401(k) matching, health insurance, and paid time off.
  • Opportunities for career advancement and professional development, including training and education programs.
  • A collaborative and supportive team environment that fosters open communication and teamwork.
How to Apply

If you are a motivated and detail-oriented professional with a passion for healthcare and patient advocacy, we encourage you to apply for this exciting opportunity. Please submit your resume and cover letter to [insert contact information].