Utilization Review Manager - Home Care ensures quality and level of care for patients are up to established standards and comply with federal, state, and local regulations. Investigates and resolves reports of inappropriate care. Being a Utilization Review Manager - Home Care may require a bachelor's degree. Typically reports to a head of a unit/department. To be a Utilization Review Manager - Home Care typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)
PMC Medical Group, a well-established independently owned multi-disciplinary practice, is seeking a full-time Utilization Review Specialist.
Summary: Provide comprehensive assessment, planning, implementation, and evaluation of individual patient care needs. Coordinate and promote continuity of care and cost effectiveness through the functions of case management, utilization review and authorization management.
Essential Functions:
Education/Experience Requirements
Pay dependent upon on education and past experience.
As a team member at PMC Medical Group, you’ll enjoy:
Job Type: Full-time
Work Location: Hybrid remote in Somersworth, NH 03878
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