Utilization Review Specialist
Prime Healthcare
Prime Healthcare's St. Mary's Hospital in Kankakee, IL seeks a full-time Utilization Review specialist to review medical records, participate in Case Management and Treatment Team meetings, and educate departments on processes. You will assess admission/continuation criteria, gather data for payers, coordinate discharge referrals, and communicate status for multiple accounts, using strong independent judgment and knowledge of federal/state guidelines. #J-18808-Ljbffr
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