What are the responsibilities and job description for the Utilization Review Specialist position at Saint Joseph's Medical Center?
The Utilization Review Specialist's primary role is the liaison between the hospitals inpatient and ambulatory services and the managed care organizations. The UR specialist is responsible for a wide range of administrative responsibilities including obtaining authorization for all levels of care, medical necessity review, monitoring of patients benefits and is knowledgeable of SJMC contractual agreements. The UR specialist works closely with numerous depts. within the hospital, including the inpatient and outpatient treatment teams, Evaluation and Referral, Benefits and Patient Accounts.
One year experience in Healthcare and/or Managed Care Setting required.
Undergraduate/Bachelor Degree (required) in Human or Health Services (preferred)
Pay: $55,000 - $60,000
Salary : $55,000 - $60,000