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Clinical Utilization Review Specialist
2 months ago
Coastal Harbor Health is seeking a Clinical Utilization Review Specialist to coordinate and direct Utilization Review functions, monitoring the utilization and continuum of services to optimize reimbursement.
Key Responsibilities- Perform the utilization and review process, for continued stay, in an appropriate and timely manner.
- Maintain appropriate records of the review process for the purpose of preparing and submitting appeals to third party payors.
- Respect the confidentiality of patient and employee information.
- Supervise the reception of requests for information from medical records of patients in person, by mail or phone, from various sources from the community at large, and assures that authorizations are properly executed (according to HIPAA guidelines, federal, and state laws) for these requests for client information.
- Perform other duties related to the department as necessity dictates.
- Challenging and rewarding work environment
- Competitive compensation
- Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(k) with company match and discounted stock plan
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.4 billion in 2022. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 employees and continues to grow through its subsidiaries.
