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Pay range for this position is $33.36 - $50.34/hour. Actual pay is based on years of licensure.
POSITION SUMMARY: The Utilization Management and Review Specialist (UMR Specialist) evaluates patient care and activities against objective criteria in an effort to take a proactive approach in addressing appropriate admission status of each patient. In addition the UMR Specialist will identify utilization issues involving under or over utilization of services, resolves and/or refers utilization issues in accordance with established procedures. Reviews medical records to determine appropriateness and medical necessity of admission and hospital stay and use of ancillary services.
This position may have a remote-working schedule at the discretion of leadership after training and orientation are complete.
QualificationsREQUIRED QUALIFICATIONS:
PREFERRED QUALIFICATIONS:
OSF HealthCare is an Equal Opportunity Employer.
Full Time
Skilled Nursing Services & Residential Care
$88k-118k (estimate)
07/12/2024
07/10/2025
osfhealthcare.org
PEORIA, IL
7,500 - 15,000
2001
$1B - $3B
Skilled Nursing Services & Residential Care