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The Utilization Management Clinician coordinates healthcare services for members, ensuring effective utilization of care while promoting cost-effective outcomes. They collaborate with medical professionals, assess member needs, review care appropriateness, and provide guidance on health plan benefits and community resources.

The Utilization Management Clinician coordinates healthcare delivery, assesses member information, reviews care requests, and collaborates with multidisciplinary teams to ensure effective, quality care for members.

The Workforce Management Analyst optimizes staffing and scheduling in a contact center, forecasts call volumes, analyzes metrics, and manages tools for efficiency and satisfaction.

The Workforce Management Analyst optimizes staffing and scheduling in a contact center, forecasts call volumes, analyzes performance metrics, and manages workforce management tools to ensure service efficiency.

The Utilization Management Clinician collaborates with medical professionals to coordinate care, assess member needs, manage resources, and ensure effective utilization of healthcare services.

The Utilization Management Clinician coordinates healthcare services for members, facilitating quality and cost-effective outcomes through assessment, documentation, and collaboration with healthcare professionals.

The Utilization Management Clinician coordinates healthcare services, assesses member needs, and ensures effective utilization of resources while documenting case notes and interacting with healthcare professionals.

Responsible for coordinating healthcare services, assessing member needs, negotiating services, and providing utilization management to optimize care outcomes.

The Utilization Management Clinician coordinates healthcare services for members, ensuring appropriate utilization of resources while collaborating with healthcare professionals to facilitate member care and manage case documents.

The Director of Marketplace Sales manages and coordinates Medicare and Individual Sales strategies, fosters partnerships in the community, ensures compliance with regulations, and leads sales operations to achieve financial performance goals.