Utilization Review Analyst - Remote

Overview

The Utilization Review Analyst position involves carrying out departmental tasks and processing incoming requests to ensure quality case information for review.

In Short

• Responsible for screening incoming requests for completeness and correctness.
• Prepare high-quality case information for nurses.
• Serve as a liaison with clients and providers.
• Resolve questions and concerns related to case reviews.
• Monitor queues and collaborate with nursing staff.
• Provide backup support to other staff as needed.
• Participate in company meetings and committees.
• Maintain a flexible schedule to meet client needs.
• Complete other assigned duties as directed.

Requirements

• Ability to work under pressure and manage multiple priorities.
• Proficiency in Microsoft Office Suite.
• Strong knowledge of anatomy, physiology, and medical terminology.
• Excellent attention to detail and organizational skills.
• Strong oral and written communication skills.
• Well-developed customer service skills.
• Ability to work independently with minimal supervision.
• Understanding of regulatory requirements and accreditation standards.
• Bachelor's degree in a related field preferred.
• Minimum of 1 year of experience in a similar role.

Benefits

• Competitive compensation package.
• Healthcare, vision, and dental insurance.
• Generous 401k match.
• Paid vacation and personal time.
• Growth and training opportunities.
• Team atmosphere with events and prizes.