BHM Healthcare Solutions
  • 10-Oct-2018 to 09-Dec-2018 (EST)
  • Tampa, FL, USA
  • $50,000 to $75,000
  • Salary
  • Full Time

Healthcare Insurance, 401k Plan, Paid Holidays


Location:  Tampa, Florida 

Salary: $50,000 - $75,000 per year. Compensation is commensurate with level of experience.

Looking to fill position quickly. Local candidates only

BHM Healthcare Solutions, Inc. is seeking a UM Clinical Specialist to join our national Independent Review Organization. The ideal candidate must be available to work afternoons/evenings and has the following key attributes:

  • Self-directed as required while able to be directed as needed.
  • Superior communication skills both verbally and written.
  • Strong ability for multi-tasking in fast paced, ever changing environment.
  • Demonstrated excellent technical abilities, including proficiency with Microsoft Office software, including Word, Excel, and Outlook.
  • Clinical experience in Utilization Management

Responsibilities include, but are not limited to: 

  • Quality assurance of final documentation of peer reviews prior to submission to client
  • Training, mentoring and supporting peer reviewers
    • The candidate will be a major contributor to the "BHM Peer Reviewer Optimization Program", which involves initial and ongoing training, support, testing and retraining, as needed.
    • The candidate will be available after-hours for operational support, especially for the peer reviewers.
  • Case preparation prior to submission to peer reviewer
  • Other items as assigned

Requirements:

The ideal candidate must be, at a minimum, a Licensed Clinical Professional with an active clinical license coupled with experience processing clinical peer reviews for Utilization Management program, including utilization review of worker's compensation cases.

About BHM:

BHM, established in 2002, provides behavioral health and medical review services and performance improvement consulting to health plans, providers, ACOs, TPAs, workers' compensation and other insurers nationally.

BHM services include, but are not limited to:

  • Physician Advisor/Peer Review Consulting
  • Accreditation Consulting
  • Strategic Planning and Organizational Analysis Consulting
  • Financial Consulting
  • Organizational Development Consulting

For more information about BHM, visit www.bhmpc.com.

BHM Healthcare Solutions
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