Utilization Review-Case Management (Full-Time)

Work as a member of a multi-disciplinary treatment team reviewing patient care and treatment options for both inpatient and outpatient services. Proactively monitor and optimize reimbursement for external reviewers / third-party payers.

Pay Range : $32 / hr. to $60 / hr.

Work Schedule : Monday to Friday from 8 : 00 a.m. to 4 : 30 p.m.

Responsibilities :

• Conduct admission reviews
• Conduct concurrent and extended stay reviews
• Prepare and submit appeals to third-party payers
• Maintain appropriate records of the Utilization Review Department
• Provide staff in-service training and education
• Maintain confidentiality of patients at all times
• Cope well with stress and possess a strong sense of compassion
• Interact sensitively with persons of various social, cultural, economic, and educational backgrounds
• Proficiency with Microsoft Office applications (Outlook, Word, Excel, PowerPoint)
• Strong organizational skills with the ability to prioritize projects, work independently, manage multiple tasks, and meet deadlines
• Strong written and verbal communication skills
• Strong interpersonal skills with the ability to work with people from diverse backgrounds
• Work independently and as part of a team
• Good judgment, problem-solving, and decision-making skills
• Demonstrated commitment to collaborative work and leadership skills
• Ability to work in a fast-paced, expanding organization

Skills :

Preferred Qualifications :

Benefits :

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