Utilization Management Specialist
Mount Sinai Health System • New York, NY5d • Onsite
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Utilization Management Specialist-MSH-Case Management-FT-Days
Mount Sinai Health System•New York, NY
•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.
Responsibilities
- Coordinating requests for clinical information from third party payers
- Providing support to a broad client base, both internal and external to the institution
- Performing 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees
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