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We are seeking a dedicated Family Medicine Non-Clinical – Utilization Review professional to join our team in the North Philadelphia Suburbs, Philadelphia, Pennsylvania. This role involves evaluating medical records and treatment plans to ensure appropriate, efficient, and compliant healthcare utilization.
Responsibilities include reviewing patient charts, collaborating with healthcare providers, and ensuring adherence to guidelines and policies. You will analyze medical documentation, assess the necessity of services, and facilitate approval processes to optimize patient care and resource utilization.
Key skills required are strong attention to detail, excellent communication abilities, and a solid understanding of medical terminology and healthcare regulations. Ability to work independently, manage time effectively, and maintain confidentiality is essential.
Benefits include competitive compensation, comprehensive health insurance, paid time off, flexible work arrangements, and opportunities for professional development. Join us to make a meaningful impact on patient care while working in a supportive, collaborative environment in the vibrant Philadelphia area.
