Utilization Management Coordinator

Job Summary: The Utilization Management Specialist plays a vital role in securing initial authorization for patient admissions based on payer criteria and hospital-wide utilization management plans. They coordinate with various departments, obtain necessary information, and update patient accounts to ensure accurate demographic details.Key...

***Work Location: West Central GA (GDOT District 3) ***Salary: Based on experience and will be discussed with manager in interviewDuties/Responsibilities :Serve as a liaison between designers, utility agencies, and project owners.Conduct and document utility coordination meetings, including meeting minutes and follow-up actions.Maintain records of all...

Job Title: Clinical Reviewer - Utilization ManagementWe are seeking a skilled and detail-oriented Clinical Reviewer to join our Utilization Management team. As a key member of the multidisciplinary treatment team, you will be responsible for performing timely daily clinical reviews with all payer types to secure authorization for initial and continued...

Job DescriptionResponsibilitiesThis position performs timely daily pre-certifications to secure initial authorization based on payer's criteria and in accordance with the hospital-wide Utilization Management Plan. The role coordinates with the Business Office, Admissions Department, and Utilization Management Department.The responsibilities include:Obtaining...

Job Description Responsibilities JOB SUMMARY: Performs timely, daily clinical reviews with all payer types, to secure authorization for initial and continued treatment based on payer's criteria and in accordance with the hospital wide Utilization Management Plan. Serves as liaison to 3rd and 4th party reviewers, effectively coordinating...

Job DescriptionResponsibilitiesJob Summary: The Utilization Management Specialist plays a critical role in ensuring timely and effective clinical reviews with payers to secure authorization for patient treatment. This involves serving as a liaison between the hospital, payers, and multidisciplinary treatment teams to educate and guide on level of care...

**Job Summary:**We are seeking a highly organized and detail-oriented Utilization Coordinator to join our team. As a Utilization Coordinator, you will play a critical role in coordinating the utilization review and appeals process.Responsibilities:Coordinate phone calls with insurance providers and health plansData entry and tracking of authorization,...

Job Description Responsibilities JOB SUMMARY: Performs timely, daily pre-certifications, to secure initial authorization based on payer's criteria and in accordance with the hospital wide Utilization Management Plan. Coordinates with the Business Office, Admissions Department and Utilization Management Department. Obtains billing and insurance...

Job DescriptionJob SummaryWe are seeking a skilled Utilization Reviewer to join our team. The ideal candidate will be responsible for coordinating the utilization review and appeals process, working closely with insurance providers and health plans to ensure timely and accurate reviews.Key Responsibilities:Coordinate phone calls, data entry, and...

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary This position is responsible performing...