Provides first level clinical review for all medical and surgical authorization requests against applicable criteria, policies and procedures. Accurately documents all reviews and contacts providers and members according to established timeframes. Acts as a member advocate by expediting the care process by working in concert with the health care delivery team to maintain high quality and cost-effective care delivery.

Salary & Benefits

35K to 40K per month HMO from Day 1 PLUS Night differential pay PLUS Paid vacation and sick leaves PLUS Holiday Pay PLUS 13th month pay Government mandated benefits