POSITION RESPONSIBILITIES. UTILIZATION MANAGEMENT FOR OUTPATIENT CLINICIANS. Responsible for organizing and monitoring utilization management functions under the Utilization Management plan and pertaining to patients under the third party payer system for the outpatient services, including psychological testing, in the tri-county offices in Newton, Hillsboro and McPherson. Demonstrate knowledge and ability to professionally and effectively commun...
Job Title: Coordinator, Utilization Management. Department: Medical Management. Supervisor: UM Supervisor/Manager, Medical Management. The Utilization Management Coordinator represents the company by serving as the frontline point of contact to providers and members for the utilization review (UR) of healthcare services. The UM Specialist works within prescribed guidelines and procedures. uses independent judgment requiring analysis of variable f...
Responsibilities. Universal Health Services, Inc. one of the nation’s largest and most respected providers of hospital and healthcare services, has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $11.4 billion in 2019. In 2020, UHS was again recognized as one of the World’s Most Admired Companies by. Fortune. . in 2019, ranked #293 o...
JOB SUMMARY. The Utilization Management Care Coordinator works within a multidisciplinary care team to assist with the care of members enrolled in our Managed Long Term Care program and facilitate authorization requests for eligible members. . PRIMARY RESPONSIBILITIES. Assists in the prior authorization of services and ongoing authorization requests. Assists in completing authorization updates as needed based on the care plan of the member. Coord...