May 29, 2018

Utilization Management Specialist

  • MyNexxtJob
Full time Healthcare Nurse

Job Description

New York , NY , United States

Responsible for utilization management / utilization review of activities to assure that facility provides the necessity medical  services and care delivery to the appropriate patients, and Health Plan members

- Will interact with members providers and vendors on a daily basis
- Will collaborate with internal and external departments to ensure the consistent delivery of timely appropriate high quality healthcare. Requirements:
- A minimum of five years of experience in a relevant clinical setting
- Direct experience in Managed Care utilization and Quality Improvement
- >InterQual 2018 experience a plus
- Excellent interpersonal and organization skills
- Competent written and verbal communication skills, second language a plus

•  EDUCATION: Bachelors Science Nursing, Degree, Registered Nurse New York City license (or eligible) or equivalent experience

•  JOB DURATION: This job is full time.



Healthcare: Nursing

Apply Now