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Healthcare Utilization Review Coordinator
2 months ago
Parkside Hospital is seeking a highly skilled Utilization Review Specialist to join our team. As a key member of our healthcare team, you will play a critical role in ensuring the efficient and effective delivery of patient care.
Key Responsibilities- Assess, plan, implement, and evaluate internal processes to minimize potential recoupment from third-party payers, including Medicare, Medicaid, HMOs, and private insurance.
- Collaborate with clinicians, the business office, and medical records to achieve these goals.
- Participate in departmental performance improvement and continuous quality improvement (CQI) activities.
- Bachelor's degree in a related field from an accredited university (experience in lieu of degree will be considered).
- Minimum 2 years of experience in healthcare, utilization review, and business settings.
- Comprehensive medical, dental, and vision coverage.
- Generous paid time off and holidays.
- 401(k) plan with immediate vesting and a generous company match.
- Company-paid life insurance and disability coverage.
Parkside Hospital is a 120-bed, private, non-profit psychiatric hospital providing outpatient services as well. Our team is dedicated to delivering outstanding patient care and making a positive impact in our community.