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About the position

The (per diem) Utilization Review Specialist coordinates scheduling of all surgical/endoscopic hospital admissions, pre-admission testing and operating room procedures. This individual seeks the assistance of the Nurse Manager in identifying cases, which require pre admission screening or have questionable admission criteria.

Responsibilities

  • Produces an updated operating room schedule that reflects changes that are a result of calling each surgeon, confirming their surgical reservations.
  • Schedules, cancels, rearranges and updates the OR schedule as necessary. Communicates this information to other areas that assist in facilitating the care of patients at Sinai for surgery.
  • Arranges for call team staff coverage for weekend/holiday emergencies procedures and surgeries.
  • Maintains statistics for surgical volume by accounting actual Operating room records.
  • Maintains a customer friendly environment, assists physicians and/or office staff in arranging admission, pre testing appointments, and operating room time.
  • Coordinates scheduling of elective or urgent surgical admissions, preadmission testing and operating room time.
  • Checks credentials system for physician's delineation of privileges for equipment and/or procedures according to medical board guidelines.
  • Verifies scheduled OR procedures with computerized scheduling system for appropriateness of procedures time allocated, equipment conflicts, and physician's privileges.
  • Collects patient's demographic information into the hospital admission system arranging a pre-admission reservation, notifying the necessary care center.
  • Arranges for pre-testing appointment, if required.
  • Acts as resource to physician and/or staff concerning changing hospital policies.
  • Requests pre certification number on required procedures from physicians.
  • Rotates to OR scheduling Productions where the confirmation of all surgical procedures, addition and cancellation to the 24 hour schedule arrangements are made.

Requirements

  • 1-2 years related healthcare administrative experience
  • HS/GED DEGREE REQUIRED
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