Administrative Assistant

Special Procedures / Unit Details

1 year experience working in a remote UR environment or 3 years experience working as an acute hospital case manager.

Competent InterQual guidelines.

Case load up to 40 reviews per day

Epic Experience Preferred

Computerized documentation, required.

Reviews the Electronic Medical Record to perform admission reviews and continued stay reviews utilizing InterQual criteria to determine medical appropriateness of the initial admission and the continued stay. Faxes via EPIC clinical reviews and clinical documentation to payers daily to demonstrate medical necessity for the hospital stay.