What are the responsibilities and job description for the Utilization Review Specialist - Care Management (Full Time) - 8033 position at St. Mary's Medical Center - Huntington, WV?
St. Mary's Medical Center is seeking a Full Time Utilization Review Specialist for our Care Management Department. The Utilization Review Manager exercises independent judgement and professional discretion in the practice of case management to patients. The URS collaborates with physicians to ensure that patients are at the appropriate level of care with use of clinical based guidelines such as InterQual/MCG. The URS monitors continuing stay to protect solving skills to meet the needs of the patients and physicians while meeting the contractual guidelines of our payers.