Utilization Review Specialist - Per Diem in Massachusetts

Westborough Behavioral Healthcare Hospital is looking for a UR Specialist to provide Per Diem coverage.

Benefits Include

• 401K
• Paid Sick Time
• Employee Discount Program
• Employee Assistance Program

Job Description:

The Utilization Review Specialist is responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital services. Monitors the appropriateness of hospital admissions and extended hospitals stays. Completing data collection of demographic, claim and medical information; non-medical analysis; and outcomes reporting.

Essential Duties:

• Initiates authorization requests are complete or requests additional data as necessary.
• Performs concurrent reviews for patients to advocate for authorization for services needed.
• Advises...