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Utilization Management Specialist - Case Management - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
The Utilization Management Specialist coordinates communication with admitting financial counselors, case management, patient financial services, and payers to ensure all inpatient services provided by the hospital are authorized by appropriate payer. The Utilization Management Specialist works with case managers to facilitate timely transmission of concurrent and discharge reviews to the appropriate payer to ensure all days are authorized and documented.  Clinical reviews and continued stay authorizations will be documented in the appropriate electronic system by the Utilization Management Specialist.Minimum Education:•High School Diploma. Minimum Experience/Knowledge:•Experience with computer data entry and spreadsheets.•Good verbal and written communication skills.


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