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)
SUMMARY: The UR Specialist is responsible for using their clinical knowledge and/or nursing experience, the review of preauthorization and concurrent review requests for all levels of care. Must collaborate with clinical and admissions staff to gather necessary information for thorough pre-authorizations and concurrent reviews.
DUTIES AND RESPONSIBILITIES:
QUALIFICATIONS:
Job Type: Full-time
Pay: From $30,000.00 per year
Benefits:
Schedule:
Experience:
Work Location: In person
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0 Utilization Review Manager - Home Care jobs found in Scranton, PA area