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Utilization Case Manager
University of MiamiUtilization Case Manager at the University of Miami coordinating clinical utilization reviews. Collaborating with healthcare teams for optimal patient outcomes while ensuring timely authorization processes.
About the role
Key responsibilities & impact- complete ongoing reviews for clinical utilization and identifying the need for continued authorization
- coordinate with the Nurse Case Manager as well as the Healthcare team for optimal patient outcomes
- maintain effective communication regarding authorization status and determination to the clinical team and on occasion the patient
- identify potential delays in treatment by reviewing the treatment plan and proactively communicates with the healthcare team
Requirements
What you’ll need- Bachelor’s degree in relevant field; or equivalent
- Minimum of 2 years of relevant experience
Benefits
Comp & perks- medical
- dental
- tuition remission
- competitive salaries
ATS Keywords
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Soft Skills
effective communicationcoordinationproactive communication