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The Utilization Management Specialist coordinates communication with admitting financial counselors, case management, patient financial services, and payers to ensure all inpatient services provided by the hospital are authorized by appropriate payer. The Utilization Management Specialist works with case managers to facilitate timely transmission of concurrent and discharge reviews to the appropriate payer to ensure all days are authorized and documented. Clinical reviews and continued stay authorizations will be documented in the appropriate electronic system by the Utilization Management Specialist.
Essential Duties:
Required Qualifications:
Preferred Qualifications:
Required Licenses/Certifications:
Full Time
$65k-86k (estimate)
05/16/2024
07/15/2024
keckmedicine.org
Los Angeles, CA
1,000 - 3,000