Utilization Management Specialist-MSH-Case Management-FT-Days

Mount Sinai Health System • New York, NY

3d • $23 - $34 • Onsite

About The Position

This position is responsible for coordinating requests for clinical information from third party payers and providing support to a broad client base, both internal and external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing stay. This position also facilitates and tracks concurrent adverse determinations and collaborates with Appeals Management Department in managing retrospective denials.

Requirements

• Clinical information coordination with third party payers.
• Support for internal and external clients.
• Utilization management support for patient admissions and continuing stay.
• Facilitation and tracking of concurrent adverse determinations.
• Collaboration with Appeals Management Department for retrospective denials.

Responsibilities

• Coordinating requests for clinical information from third party payers.
• Providing support to a broad client base, both internal and external to the institution.
• Utilization management support functions for patient admissions and continuing stay.
• Facilitating and tracking concurrent adverse determinations.
• Collaborating with Appeals Management Department in managing retrospective denials.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed