Medical Utilization Manager - Hybrid in NJ

Job DescriptionJob Description

Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients’ needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers’ compensation insurance carriers; third party administrators (TPAs); and government entities we serve.

Position : M anager- Medical Utilization Review Management Department

Location : Hybrid (2 times a month in Hamilton NJ)

FMLA : Exempt, Full-Time

Schedule : M-F 9am-5 : 30pm

OVERVIEW :

The Manager of the Medical Utilization Review Management Department directs all Precertification and MI UR services performed in accordance with company policies, practices, procedures, state laws and delegated authority.

SKILLS AND COMPETENCIES :

• Clear and effective communication skills
• The ability to lead, motivate and support a team
• The ability to resolve issues and make sound clinical and administrative decisions
• The ability to manage multiple tasks, schedules and staff effectively
• Knowledge of methods and standards to improve quality and outcomes

ESSENTIAL DUTIES AND RESPONSIBILITIES :

EXPERIENCE :

EEOC STATEMENT :

Medlogix is an Equal Opportunity Employer. Medlogix does not discriminate on the basis of , , , , , orientation, , , , veteran status or any other basis covered by appropriate law. We will continue to maintain our commitment to making all employment-related decisions based on the merit of each individual.