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Utilization Case Manager at University of Miami - ApplyBlast

Utilization Case Manager

University of Miami

25 days ago

3.8 on Glassdoor

Remote

Full Time

Medior

0 applicants

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About this role

The Utilization Case Manager is responsible for conducting ongoing clinical utilization reviews to determine the need for continued authorization of care. This role involves coordinating with the Nurse Case Manager and healthcare team to ensure optimal patient outcomes while preventing treatment delays and authorization denials. The position requires maintaining a designated patient caseload and communicating progress or determinations to clinical teams and patients.

Responsibilities

Complete ongoing reviews for clinical utilization and identify need for continued authorization
Coordinate with Nurse Case Manager and healthcare team to ensure optimal patient outcomes
Maintain effective communication regarding authorization status and determination to clinical team and patients

Skills

Qualifications

Bachelor's degree in relevant field

About University of Miami

miami.edu

Headquarters

Miami, Florida, United States

Company Size

1001-5000 employees

Founded

1952

View Profile

The University of Miami is a private research university in Coral Gables, Florida, serving more than 16,000 students from around the world. It is a vibrant, diverse academic community focused on teaching and learning, the discovery of new knowledge through research, and service to the South Florida region and beyond. UM offers a wide range of undergraduate, graduate, and professional programs with an emphasis on interdisciplinary scholarship, innovation, and community engagement.