Utilization Review Generalist / Utilization Review / PRN

Job Description

Summary of Performance Expectations


Performs a variety of administrative office duties to include: management and organization of confidential materials and records; providing support services as assigned; collecting and reporting data, information and analyses, coordinating internal and external functions and reporting requirements of the Utilization Review department. Meets with patient or representative to discuss discharge appeal process.

Education and Credentials:

Required:

High School Diploma. Office Systems Technology or business/accounting related field.

Preferred:

Formal training in basic computer applications.

Work Experience:

Required:

Two years experience in a healthcare facility with focus on customer service, utilization of MS Office applications and confidential records management. Electronic Health Record (EHR) experience. Ability to exercise independent problem solving and goal setting skills. Given training and on-the-job experience, incumbent should be proficient in the basic aspects of the job within three months of employment date.

Preferred:

Knowledge of medical terminology and a clear understanding of basic ICD and CPT codes. RHIT certification. Experience with Meditech.

About Us

About Catawba Valley Medical Center

COMPREHENSIVE, ACCESSIBLE HEALTHCARE SERVICES IN THE CATAWBA VALLEY

As the region's largest not-for-profit community hospital, we exist to heal and comfort patients, to promote and foster a healthier community, and to ensure access to healthcare to all who need it - regardless of ability to pay. With a wide array of medical specialties, our skilled nurses and providers are trained to treat virtually any type of injury or illness, providing high-quality, easily accessible healthcare close to home.


Our mission: Exceptional Healthcare. Every Person. Every Time.


At A Glance:

• Region's only level III Neonatal Intensive Care Unit (NICU)
• Women's Choice Award winner for America's Best 100 Hospitals for Patient Experience for six consecutive years
• American College of Surgeons Accredited Comprehensive Community Cancer Center

HIGH LEVEL OF TECHNICAL CARE FROM MEDICAL EXPERTS


Catawba Valley Medical Center offers a wide range of services from experienced medical specialists capable of addressing virtually any healthcare concern. Our current hospital holds 258 beds and serves the five-county Hickory area. Through our skilled medical practitioners and our highly trained staff, we strive to provide the highest level of medical expertise using the latest, state-of-the-art technology available.


One of our goals at Catawba Valley Medical Center is to provide seamless care between your primary care provider and our hospital. Being a part of a vast healthcare network allows for easier and more efficient communication between local physicians, medical specialists and our hospital. No one should have to travel far for the expert level medical treatment they need. We work with a plethora of medical specialists capable of diagnosing, treating and operating on a wide variety of conditions.