Utilization Manager - New York

Only for registered members New York, United States

2 weeks ago

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Job summary

The Utilization Manager is responsible for the day-to-day functions of collaborative communication with external case managers at referring provider facilities and/or managed care organizations (MCO) for data collection, interpretation, and certification/recertification from third party payers at pre-admission through discharge. The position requires a thorough understanding of patient treatment plans through participative discussions with the care plan team.

Qualifications

  • Minimum of 2 years of case management and/or utilization review experience
  • Associate degree required; bachelor's Degree preferred
  • Strong problem-solving and advanced analytical skills necessary to read, understand, interpret, and analyze statistical data
  • Maintains all information in a manner such as to assure strict confidentiality and compliance with HIPPAA
  • Demonstrated ability to effectively collaborate with peers on project assignments

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