Physician Utilization Review Specialist Per Diem - Hackensack

Only for registered members Hackensack, United States

1 month ago

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Job summary

The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records for the patient population

Responsibilties include regulatory compliance,
Oversight for accurate patient status determinations - OBS vs. Inpatient,
Liaison to the Medical Staff supporting Utilization Management Committee processes,
Hospital Based Appeals Management,
Provides guidance and interpretation on issues of medical appropriateness and level of care needs.
  • Excellent communicator
  • Broad spectrum clinical knowledge base

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