Utilization Review Clinician — Care Optimization
Molina Healthcare9 months ago
Chicago, IL, United States
On-site
Full-time
Junior Level (1-3 years)
Job Description
Position Overview
A leading healthcare organization in Chicago is seeking a qualified professional to provide support for clinical member services. This role involves assessing services for cost-effectiveness and compliance, analyzing requests against clinical guidelines, and collaborating with clinical teams to promote integrated care. Location: Chicago
Key Responsibilities
- Assessing services for cost-effectiveness and compliance
- Analyzing requests against clinical guidelines
- Collaborating with clinical teams to promote integrated care
Required Qualifications
- Experience Required: 2 years of healthcare experience
- Excellent organizational skills
- Strong ability to manage multiple deadlines
Benefits & Perks
- Benefits: A competitive benefits package is offered
Required Skills
Compliance
Utilization Review
Organizational Skills
Clinical Assessment
Clinical Guidelines Analysis
Cost-effectiveness Analysis
Team Collaboration
Member Services
Deadline Management