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