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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Utilization Management, coordinating patient care, and participating in quality improvement initiatives. Holds a valid medical license and board certification, with strong analytical, communication, and organizational skills.
Highest-signal resume keywords
Utilization ManagementInternal MedicineFamily PracticeBoard CertificationHospital Medicine Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Utilization ReviewPatient Care CoordinationQuality ImprovementAnalytical SkillsDeductive Reasoning
Soft Skills
Problem-Solving SkillsProfessional CommunicationOrganizational Skills
Tools & Technologies
Microsoft OfficeOutlookExcelWordPowerPoint
Certifications & Qualifications
Medical LicenseBoard Certification
Industry Keywords
Primary Care ProviderSkilled Nursing FacilityHealth PlanDelegated Utilization Management
About the role
Key responsibilities & impact- Serve as the primary physician reviewer for Utilization Management cases
- Provide Delegated UM for assigned territories, establishing 2–3 cases per day for each market covered, up to 6 markets
- Attend all health plan and local calls
- Participate in weekly Primary Care Provider and Skilled Nursing Facility meetings for assigned territories
- Advise other physician reviewers
- Coordinate care for patients
- Participate in Process and Quality improvement for Delegated Utilization Management
- Perform other duties as assigned and modified by the manager
Requirements
What you’ll need- Graduate from accredited Medical School with a valid, unrestricted license is required
- Completion of Internal Medicine or Family Practice residency
- Board Certification in residency area
- Two (2) years’ experience in Hospital medicine preferred
- At least one (1) year of utilization review experience preferred
- Excellent analytical and deductive reasoning skills
- Good judgement and problem-solving skills
- Professional and effective communication skills
- Strong organizational skills
- Written and verbal fluency in English
- Proficient in Microsoft Office products such as Outlook, Excel, Word and PowerPoint
Benefits
Comp & perks- Comprehensive benefits
- Career development and advancement opportunities
- Great work-life balance
- Bonuses or commissions may be available