What are the responsibilities and job description for the Utilization Review Associate position at ARCARE?
POSITION SUMMARY
Assist with planning and coordinating the duties of Utilization Review. This position is responsible for assisting with HEDIS measures, GICA, AWVs, reporting, and other collaborative projects with both internal and external entities such as third-party payers.
ESSENTIAL FUNCTIONS
Reasonable Accommodations Statement
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
Essential Functions Statement(s)
- Assist with maintaining records and reporting related to Utilization Review.
- Upload all required information including but not limited to annual wellness supporting documents.
- Prepare reports providing status of programs, services, and quality initiatives related to Utilization Review.
- Assists in scheduling and coordinating for Utilization Review.
- Assists in tracking and reporting on all required documentation for collaborative projects.
- Provide patients and families information about available ARcare initiatives and services.
- Meet professional obligations through efficient work habits such as meeting deadlines, honoring schedules, coordinating resources, and meetings in an effective and timely manner.
- Perform all duties relevant to the position as requested.
SKILLS & ABILITIES
Education: High school diploma
Experience: two years experience with Microsoft Office and office work
Computer Skills: Able to learn and utilize electronic medical record, electronic data systems, and electronic communications. Proficient in Microsoft Office.
Applicaation Assistance:
If you need assistance with the application process, please email humanresources@arcare.net.
Equal Opportunity Employer:
ARcare is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other characteristic protected by law.
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