Sutherland

Sutherland

Associate-Healthcare

Company

Sutherland

Role

Associate-Healthcare

Job type

Full-time

Posted

5 months ago

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Salary

Not disclosed by employer

Job description

  • Clinical operations across Utilization Management and Care Management, including:
  • Reviewing medical documentation and pre-authorization requests
  • Conducting concurrent and retrospective reviews
  • Managing member care coordination, follow-ups, and clinical documentation
  • Voice & Non-Voice
  • Active USRN or PHRN license
  • With good to excellent English communication skills
  • No clinical and BPO experience required but preferred
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