What are the responsibilities and job description for the Utilization Review Manager position at Health Marketing?
Full-Time position in the Utilization Management Department, Day Shift (8am-5pm). Seeking a candidate with a Bachelor's degree in nursing, SC RN License, and 3 years of experience in an acute care hospital setting, including 1 year in utilization review/case management.
Key Responsibilities
Key Responsibilities
- Lead Utilization Review Specialists and Administrative Assistants.
- Coordinate utilization review for inpatient admissions and observation patients.
- Serve as an expert on patient classification and reimbursement.
- Analyze data for improvement opportunities.