Strategic Utilization & Reimbursement Specialist
Harbor Oaks
Harboroaks in Tennessee (Burns) seeks a Utilization Management Specialist to proactively monitor service utilization and optimize reimbursement for the facility, ensuring compliance with certification requirements and patient care standards.
You will act as liaison between managed care organizations and clinical staff, conduct reviews, monitor length of stay, prepare narratives and statistics, facilitate peer reviews, assist with pre-certifications, and provide ongoing education to staff on
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