Clinical Specialist, Utilization Management
$72K/yr – $85K/yr
HealthcareFull-time
Health insurer serving Maine individuals, families, and businessesHealthcarePosted 28d ago
Responsibilities Consistently exhibits behavior and communication skills that demonstrate Health Options commitment to superior customer service Efficiently coordinates medical services to facilitate Members receiving the right care, at the right time, in the right setting Using approved evidence-based clinical criteria, reviews requests to determine if submitted clinical documentation supports medical necessity Cons