OnlineJobs.ph

Calvin - As a Utilization Review Nurse at Devoted Health, I bring over four years of experience in utilization management and utilization review. With a strong foundation in nursing and advanced practice credentials, I contribute to ensuring optimal patient care and resource management in healthcare operations. Committed to delivering quality outcomes, I collaborate with teams to support efficient healthcare delivery and uphold patient well-being. My work is rooted in leveraging my expertise to drive effective review processes and enhance patient-centered care in alignment with organizational goals. In my 15 years of working experience, I have handled different clients or lines of businesses such as banking, software, insurance, and healthcare companies. I am proficient in healthcare systems such as EMR (Electonic Medical Record), EHR (Electronic Health Record) systems such as Epic (Epic System), Cerner (OracleHealth), Medtrack, UM criteria tools such as MCG (Milliman Care Guidelines) and Interqual. Communication tools such as Avaya, Talkdesk and Slack. (Medical Insurance, HIPAA Compliance , Medical Virtual Assistant) - $6.99/hour | OnlineJobs.ph