Utilization Review Specialist

1 day ago


Groton, Connecticut, United States Universal Health Services, Inc. Full time
Job Summary:

The Utilization Review Specialist is responsible for ensuring that patients receive the necessary level of care to achieve optimal health outcomes. This involves reviewing patient records, consulting with healthcare professionals, and making informed decisions about treatment plans.

Key Responsibilities:
  • Conduct thorough reviews of patient records to identify areas of improvement and potential risks.
  • Collaborate with healthcare teams to develop and implement effective treatment plans.
  • Communicate with patients, families, and healthcare providers to ensure seamless care coordination.
  • Stay up-to-date with changing healthcare regulations and guidelines to ensure compliance.
  • Participate in quality improvement initiatives to enhance patient outcomes and satisfaction.
Requirements:
  • Bachelor's degree in a related field, such as healthcare administration or nursing.
  • Minimum 2 years of experience in a healthcare setting, preferably in utilization review or case management.
  • Strong analytical and problem-solving skills, with the ability to work independently and as part of a team.
  • Excellent communication and interpersonal skills, with the ability to work effectively with diverse stakeholders.
  • Proficiency in electronic health records and other relevant software systems.

Universal Health Services, Inc. is committed to providing a work environment that is inclusive, respectful, and supportive of all employees. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.



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