Utilization Review

1 week ago


Cloquet, Minnesota, United States Community Memorial Hospital Full time
Job Summary


Screens all patient admissions for medical necessity and performs certification of Inpatient or Observation status based on medical documentation and use of clinical decision support software.

Responsible for administering the continued stay review process in accordance with payer guidelines. Facilitates accurate and timely communication with physicians/practitioners and other team members. Performs routine prior authorizations with third party payers when required for various services.

Requirements:
Knowledge of CPT and ICD-10 coding highly preferred. Working knowledge of insurance plans or companies. Knowledge of electronic patient record systems and medical terminology. Ability to work independently and within a team. Must have excellent organization skills and the ability to work with minimal supervision.

Wage:
Depending on your work experience, you could earn a wage of up to $25.17 per hour.

Apply Now

Complete a job application and submit form online.

Complete a job application and submit form online:

Community Memorial Hospital is an Equal Opportunity Employer.

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