Utilization Review Specialist (51718)
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WestCare Foundation
📍 Henderson, NV, United States
Job Description
Salary Range $24.03 - $24.75 Hourly
Position Type Full Time
Job Shift Any
Education Level 2 Year Degree
Description
Position Summary:
Person in this position is responsible for collecting clinical information and communicating with MCOs in a timely manner in order to advocate for the highest level of care that is supported by the clients acuity, and in compliance with regulations as defined by WestCare and its regulatory and accrediting agencies. Person in the position is also responsible for communicating with insurance companies/payor sources as an advocate for the patients served. Essential functions include those listed below
Essential Job Functions:
+ Establish and maintain positive and frequent effective communication with insurance carriers
+ Read and understand patient/members running chart narrative and respective case notes and be able to disseminate patient needs and professional/clini...
Position Type Full Time
Job Shift Any
Education Level 2 Year Degree
Description
Position Summary:
Person in this position is responsible for collecting clinical information and communicating with MCOs in a timely manner in order to advocate for the highest level of care that is supported by the clients acuity, and in compliance with regulations as defined by WestCare and its regulatory and accrediting agencies. Person in the position is also responsible for communicating with insurance companies/payor sources as an advocate for the patients served. Essential functions include those listed below
Essential Job Functions:
+ Establish and maintain positive and frequent effective communication with insurance carriers
+ Read and understand patient/members running chart narrative and respective case notes and be able to disseminate patient needs and professional/clini...