Utilization Review Specialist - Berkshire Visiting Nurses Association - Shift: Days, 32 Hours
Berkshire Health Systems•Pittsfield, MA
230d
This job is no longer available
There are still lots of open positions. Let's find the one that's right for you.
About The Position
The Utilization Program Specialist is responsible for evaluating the necessity and appropriateness of services to ensure that they are effective and cost efficient. The Utilization Program Specialist works in tandem with the Clinical Manager to assist the clinical staff with case management and ensure care is delivered according to BVNA standards/pathways and regulatory requirements. He/she provides direction and acts as a resource for Clinical Managers and staff regarding reimbursement. The Utilization Program Specialist organizes, complies and translates medical information into medical codes according to home care coding conventions.
