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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Utilization Management and clinical decision-making, with a strong foundation in Internal Medicine or Family Practice. Proficient in communication and organizational skills, ensuring effective collaboration with healthcare teams and adherence to health plan protocols.
Highest-signal resume keywords
Board Certification In RheumatologyUtilization Review ExperienceInternal Medicine Or Family Practice ResidencyAnalytical And Deductive Reasoning SkillsProficient In Microsoft Office
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Utilization ManagementClinical Decision-MakingHospital Medicine ExperienceAnalytical SkillsProblem-Solving Skills
Soft Skills
Professional CommunicationOrganizational SkillsJudgment
Tools & Technologies
Microsoft OutlookMicrosoft ExcelMicrosoft WordMicrosoft PowerPoint
Certifications & Qualifications
Valid Medical LicenseBoard Certification In Rheumatology
Industry Keywords
Primary Care ProviderSkilled Nursing FacilityHealth PlanDelegated UM
About the role
Key responsibilities & impact- Provides Delegated UM by covering the specified territories as assigned
- Establish 2-3 cases a day for each market covered (up to 6 markets)
- Ensures attendance on all health plan and local calls
- Calls in for the weekly Primary Care Provider (PCP) and Skilled Nursing Facility (SNF) meetings covering the assigned territories
- Advises other physician reviewers
- Other duties as assigned and modified by manager.
Requirements
What you’ll need- Graduate from accredited Medical School with a valid, unrestricted license
- Completion of Internal Medicine or Family Practice residency
- Board Certification in Rheumatology
- Two (2) years’ experience in Hospital medicine preferred
- At least one (1) year of utilization review experience preferred
- Excellent analytical and deductive reasoning skills
- Good judgement and problem-solving skills
- Professional and effective communication skills
- Strong organizational skills
- Written and verbal fluency in English
- Proficient in the use of Microsoft Office products such as Outlook, Excel, Word and PowerPoint.
Benefits
Comp & perks- Great compensation
- Comprehensive benefits
- Career development and advancement opportunities
- Work-life balance opportunities