UM Specialist II Job in Columbus 43085, Ohio US
POSITION SUMMARY: The Utilization Management Specialist II Responsible for eligibility and benefit verification and collection of medical data needed to perform care management activities. Functions as a member of a multidisciplinary team to perform assessments, offer telephonic support for members enrolled in care management, perform activities to identify over or under utilization, assist members with healthcare navigation and identify barriers to receipt of optimal healthcare. Serves as a resource for other licensed and non-licensed UM staff. Assists the Care Management Team Read more […]