Utilization Review Specialist

2 days ago


Fresno, California, United States Community Medical Centers Full time
Job Summary

The Behavioral Health Utilization Review Coordinator plays a crucial role in ensuring that care is delivered in accordance with intensity of service and severity of illness standards at all times during the stay.

Key Responsibilities
  • Conduct thorough reviews of patient cases to determine the necessity of services
  • Collaborate with healthcare teams to develop and implement effective care plans
  • Ensure compliance with regulatory requirements and organizational policies
  • Provide education and support to patients and families on utilization management best practices
Requirements
  • Strong analytical and problem-solving skills
  • Excellent communication and interpersonal skills
  • Ability to work in a fast-paced environment and prioritize multiple tasks
  • Knowledge of healthcare regulations and policies

Community Medical Centers is committed to providing high-quality care to our patients. If you are a motivated and detail-oriented individual who is passionate about healthcare, we encourage you to apply for this exciting opportunity.



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