What are the responsibilities and job description for the Utilization Review Specialist (Full Time) position at Sheppard & Enoch Pratt Hospital?

Employment Type: Full-Time Hours Per Week: 40

General Summary:

Responsible for supporting the utilization review system including data analysis, report writing, and program improvement.
UR Specialist will develop and maintain a VOD Tracking and Receipt system.
UR Specialist will maintain an expert level review of client entitlements and billing authorizations.
Also responsible for securing authorizations and tracking entitlements for enrolled clients.

Knowledge, Skills, and Abilities Required:

Knowledge of the public mental health system and programs, generally acquired through a bachelor’s degree in Social Work or Psychology or related degree OR (2) years related work experience.

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Utilization Review Specialist (Full Time)

What are the responsibilities and job description for the Utilization Review Specialist (Full Time) position at Sheppard & Enoch Pratt Hospital?

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