Job Title: Clinical Utilization Management Reviewers
No of Vacances: 05
Target Start Date: 15 January 2021
Job Description: A Clinical Utilization Management Reviewer will be required to work on medical related projects as below stated
1) Perform Utilization Management (UM) reviews in accordance with mandated regulations. Maintains compliance with regulatory changes affecting UM.
2) Perform UM reviews (prospective/concurrent/retrospective) for inpatient and outpatient services according to the prescribed standards and client requirements and/or policies.
3) Review UM requests for services against established clinical review criteria, referring cases not meeting …
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