Point C

The Utilization Management Nurse is responsible for handling authorization requests, reviewing requests for medical necessity and plan coverage, managing provider communications, and ensuring accurate data entry of coding and provider information. This position requires knowledge of clinical terminology, basic nursing, attention to detail, and the ability to manage multiple tasks in a fast-paced environment.

The Operations Trainer is responsible for delivering virtual training to staff across a variety of operational functions, including curriculum and procedural instruction related to systems, compliance, industry topics, new products or clients, and other key initiatives. This role also supports the development and maintenance of training content, policies, and procedures to drive consistency and excellence across the organization.