Utilization Review-Case Management (Full-Time)
Aurora San Diego
San Diego, california
Work as member of multi-disciplinary treatment team reviewing patient care and treatment options for both inpatient and outpatient services. Proactively monitor and optimize reimbursement for external reviewers/third party payers.
*Pay Range: $32/hr. to $60/hr.
Work Schedule: Monday to Friday from 8:00 a.m. to 4:30 p.m.
Responsibilities:
- Admissions: Conduct admission reviews
- Concurrent/Stay Reviews: Conduct concurrent and extended stay reviews
- Payment Appeals: Prepare and submit appeals to third party payers
- Recordkeeping: Maintains appropriate records of the Utilization Review Department
- Training: Provide staff in-service training and education
- Maintains confidentiality of patients at all times
- Ability to cope well with stress and have a strong sense of compassion
- Sensitivity to and willingness to interact with persons of various social, cultural, economic and educational backgrounds ...