Description

As the Utilization Management & Quality Review Specialist, you will be responsible for:

Managing service requests and potential quality issue cases, ensuring compliance with regulatory requirements for both utilization management and quality assurance processes Ensuring that all cases are processed within mandated timeframes and that clear, timely communication is provided to all stakeholders. Working closely with medical director, utilization management and quality review team to ensure that all cases are handled effectively. Other duties as assigned

Salary Range: $31.45 – $43.17/hourly