Offer summary
Qualifications:
1-2 years in Utilization Management, Active NY State Licensed LPN/RN, Strong computer skills and quick learner, Experience with MCG guidelines required, Fluent in Spanish, Bengali, or Mandarin preferred.Key responsabilities:
- Conduct standard and expedited clinical reviews
- Manage UM process and provide notifications
- Participate in interdisciplinary team meetings
- Meet daily case review expectations of 30 cases
- Adhere to turnaround timeframes for requests