Utilization Review Manager Resume Example

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Table of contents

Why Is This a Good Utilization Review Manager Resume Sample?
Why You Need a Strong Utilization Review Manager Resume
Costly Utilization Review Manager Resume Mistakes to Avoid
Conclusion

As a utilization review manager, you understand the need for accuracy and high-quality results. Your resume should reflect this knowledge while emphasizing your specific skills and qualifications. This document should inspire hiring managers to take a closer look at your fitness for open positions. Throughout your career, you may have valuable opportunities to progress and advance; will your resume be up to the task? Use strong resumes, such as our utilization review manager resume sample, as examples while crafting your own.

Our example resume offers a standard against which you might measure your own. It will help you determine the most effective types of formatting and the best practices for writing each section. The writing tips will help you choose skills to include, create your work history, and describe your education. Refer to the resume builder for even more information.

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Olivia Thyme

123 Fake Street | City, State, Zip Code
Cell: 000-000-0000
email@email.com

Professional Summary

Utilization Review Manger competent at assuring the receipt of high quality and cost efficient medical outcomes. Identify the need for inpatient and outpatient precertification and preauthorization. Screen enrollees for ICM programs.

Core Qualifications

Review precertification requests
Determine medical necessity
Admit referrals
Clinical information
Medical databases
Length of stay extensions

Experience

Utilization Review Manager, April 2012 – Present
Company Name City, State

Conduct ongoing availability, monitoring and oversight of non-clinical staff activities as part of the triage program.
Review precertification requests for medical necessity and refer those requests that require additional expertise to the Medical Director.
Review clinical information for concurrent reviews and extend lengths of stay as appropriate.
Utilize effective relationship management, coordination of services, resource management, patient advocacy, education and related interventions.
Provide appropriate consultation to patients and refer patients to Case Management personnel when necessary.
Establish an effective rapport with other employees, customers, clients, patients, families, physicians and professional support service staff.

Utilization Review Manager, August 2008 – May 2012
Company Name City, State

Prepared monthly cost savings and management reports and assisted with the preparation of quarterly summary reports.
Maintained accurate records of all communications and interventions and provided timely verbal and written reports to ICM staff as directed by the COO.
Identified non-traditional resources and demonstrated creativity in managing each case to fully utilize all resources available to staff employees.

Education

2008 Bachelor of Science, Nursing
University of California – City, State

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Why Is This a Good Utilization Review Manager Resume Sample?

Immediately after listing name and contact information, the jobseeker provides a concise professional summary. This helpful synopsis of skills and qualifications provides hiring managers with a quick glimpse of the candidate’s appropriateness for the position. The jobseeker from our utilization review manager resume sample left out any personal pronouns and stuck to three concise statements of ability. The phrase “assuring the receipt of high quality and cost efficient medical outcomes” provides an example of the type of experience the candidate has and impresses hiring professionals with the jobseeker’s attention to quality outcomes.

Next, the candidate uses the core qualifications section to build upon the value of the summary statement. Formatted with six bullet points, this section provides an overview of the abilities of the candidate. We suggest limiting your section to eight or slightly fewer strengths. This makes the section easy for hiring managers to read and provides a place to list relevant skills, such as the ability to review precertification requests. If you aren’t sure which skills are best to include, refer to the job listing.

Even with just a couple of listings, the work experience section is often the primary source of complete information regarding the candidate’s qualifications for a position. Before getting too far into the listings, be sure to choose a format that will guide hiring professionals through your resume. Our utilization review manager resume sample begins with the most recent position and moves backward chronologically. Each job responsibility is listed as a bullet, beginning with a strong verb and including both duties and accomplishments. When possible, the candidate uses measurable specifics, such as “monthly cost savings and management reports” and “preparation of quarterly summary reports.”

The education section of the utilization review manager resume sample is understandably short. This section concisely draws attention to the jobseeker’s academic credentials. Don’t make the mistake of including unnecessary information, such as a high school degree.

Why You Need a Strong Utilization Review Manager Resume

The job outlook for utilization review managers is positive. According to the Bureau of Labor and Statistics, the job outlook for the medical records and health information industry between 2014 and 2024 is 15 percent, a percentage that is much faster than average. While you may think this gives you room to relax, if you truly want to benefit from these prospects, you need to be especially sure that your resume is top-notch. Use the utilization review manager resume sample as a guide.

Remember that your resume is the first impression you’ll make on hiring managers. While there are plenty of opportunities for professionals in this career, you will find that employers are more likely to leave a position open than to fill it with a candidate who isn’t qualified. This means you need to be sure your resume is well-written and full of selling skills and qualifications.

Costly Utilization Review Manager Resume Mistakes to Avoid

In any resume, spelling and grammatical mistakes, incorrect information, and untruths could mean trouble for your opportunities. However, in a field where accuracy is necessary and discrepancies could lead to significant financial consequences, these mistakes on a resume could signal the end of your chances for that position. As you tighten up your formatting and edit your document to catch errors, be sure to watch out for some other costly mistakes.

One common mistake resume writers make is to make a list of duties, failing to provide detailed examples of accomplishments and areas of responsibility. The utilization review manager resume sample writer didn’t just list “review clinical information, coordinated services, consulted with patients, and prepared reports.” Instead, the writer included specific examples, such as “review precertification request for medical necessity” and “identified non-traditional resources and demonstrated creativity in managing each case to fully utilize all resources available.”

Be careful to avoid mistakes such as using the incorrect tense when describing work experiences, slipping into passive voice, or too much repetition.

Conclusion

Writing a professional resume doesn’t have to be difficult, but you do need to put in a diligent effort to create a document that represents you well. Make sure that your resume stands out from the rest, just as in the utilization review manager resume sample, by using the best writing practices, including the use of easy-to-read formatting, engaging and informative word choice, relevant facts, and thorough editing.

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