Utilization Review Technician conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Being a Utilization Review Technician reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Technician consults with nurses and physicians as needed. Position is non-RN. May require an associate degree or its equivalent. Typically reports to a supervisor. May require Registered Health Information Technician (RHIT). The Utilization Review Technician gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Utilization Review Technician typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
A leading acute care hospital located in central New Hampshire is now seeking an experienced Director Case Management to join their award-winning healthcare team.
This regional leading acute care hospital is home to just over 130-beds and provides a wide variety of expert acute care services. For the Lakes and Three Rivers regions, this location offers medical, surgical, specialty, diagnostic, rehabilitative, emergency, patient education, and community support services.
Reporting to the Chief Nursing Officer, the Director Case Management will lead all operations of the inpatient utilization review, social work, physician services, and indigent care departments. The Director Case Management will oversee discharge planning, evaluate the utilization review process, partner with internal hospitalists, align the department with organizational goals, have oversight of department budgets, maintain regulatory standards, and represent the case management service line in various hospital committees.
Requirements Include:
Located in central New Hampshire, this location is perfectly situated between two beautiful lakes and offers a quaint village feel.
This organization is prepared to offer a competitive compensation package including industry leading benefits and future growth opportunities.
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0 Utilization Review Technician jobs found in Manchester, NH area