Utilization Review Nurse Job at Anchor Hospital
Responsibilities:
The Utilization Review Coordinator performs admission and concurrent review of patients. Assures optimum quality of patient care in the most cost-effective manner. Works with the ARS, Physicians and the Social Services department to ensure quality of documentation of patient care. Conducts concurrent and extended stay reviews on appropriate day and/or specified time. Prepares and submits appeals to third party payers, effectively coordinating collection of all pertinent data to support the hospital and patient's position, as well as other duties as assigned.
Qualifications:
Bachelor’s Degree
Three (3) to five (5) years’ experience in chart analysis and utilization review in the psychiatric and chemical dependency field preferred.
Good oral and written communication skills required to communicate in a clear and concise manner with patients, physicians, staff and administration. Stable emotional makeup required to work in a fast paced environment with frequent interruptions.
Work is sedentary requiring sitting most of the day. Sitting at least six (6) hours a day while processing paperwork, answering the phones and other described duties. One half of the day is spent on the telephone. Standing at least one hour a day while making copies, delivering message, etc. Lifting up to 20lbs of copier paper from floor level to check level while filling copier with paper.
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The Utilization Review Coordinator performs admission and concurrent review of patients. Assures optimum quality of patient care in the most cost-effective manner. Works with the ARS, Physicians and the Social Services department to ensure quality of documentation of patient care. Conducts concurrent and extended stay reviews on appropriate day and/or specified time. Prepares and submits appeals to third party payers, effectively coordinating collection of all pertinent data to support the hospital and patient's position, as well as other duties as assigned.
Qualifications:
Bachelor’s Degree
Three (3) to five (5) years’ experience in chart analysis and utilization review in the psychiatric and chemical dependency field preferred.
Good oral and written communication skills required to communicate in a clear and concise manner with patients, physicians, staff and administration. Stable emotional makeup required to work in a fast paced environment with frequent interruptions.
Work is sedentary requiring sitting most of the day. Sitting at least six (6) hours a day while processing paperwork, answering the phones and other described duties. One half of the day is spent on the telephone. Standing at least one hour a day while making copies, delivering message, etc. Lifting up to 20lbs of copier paper from floor level to check level while filling copier with paper.
Please Note :
bankofmontserrat.ms is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, bankofmontserrat.ms provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.