Utilization Review Specialist
St. Vincent's Hospital Westchester
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- Pay
- $55K to $60K
- a year
- Location
- Westchester, NY
- Job type
- Full time
- Posted
- Oct 22
- Today
Career path
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About the company
St. Vincent's Hospital Westchester
Hospital & health care · 1,001 to 5,000 employees
What you'll do
- Obtain authorization for all levels of care
- Conduct medical necessity review
- Monitor patients benefits
- Work closely with inpatient and outpatient treatment teams, Evaluation and Referral, Benefits and Patient Accounts
What you need
- One year experience in Healthcare and/or Managed Care Setting
- Undergraduate/Bachelor Degree
- Degree in Human or Health Services (preferred)
Key skills
HealthcareManaged Care Setting
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Read the full posting here
The Utilization Review Specialist's primary role is the liaison between the hospitals inpatient and ambulatory services and the managed care organizations. The UR specialist is responsible for a wide range of administrative responsibilities including obtaining authorization for all levels of care, medical necessity review, monitoring of patients benefits and is knowledgeable of SJMC contractual agreements. The UR specialist works closely with numerous depts. within the hospital, including the inpatient and outpatient treatment teams, Evaluation and Referral, Benefits and Patient Accounts.
One year experience in Healthcare and/or Managed Care Setting required.
Undergraduate/Bachelor Degree (required) in Human or Health Services (preferred)
Pay: $55,000 - $60,000