Utilization Review Coordinator
$45 per hourEmerson Health
Utilization Review Coordinator
Schedule: Full Time
Pay Range: $45.00 - $65.00 / Hourly
Shift: Day shift
Hours: 8:00am-4:30pm
About this role Job Summary: The Utilization review coordinator's primary responsibility is to monitor adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital services. The coordinator will ensure that all patients admitted to EH are appropriate for admission to the hospital and are at the correct level of care. They will ensure that clinical reviews are given to the payer care manager in a timely manner and that potential denials in care are addressed concurrently to prevent retrospective denials. This will involve communication and collaboration with payer care managers to understand their clinical criteria, appeal process and collaboration while patient is in house to prevent or minimize retrospective denials. Requirements: Education: RN licensure required, BSN preferred Experience: 3years hospital case management or utilization management experience Employment Type: Full Time
Salary: $45 - $65 Hourly
Vacancy posted 15 hours ago
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