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Utilization Management Representative
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$35,240 - $43,535 a year
Full-time
- The Utilization Management Representative (UMR) provides office support for all units within the Utilization Management and/or Population Health Department.
- Utilization Review, Concurrent Review, Population Health and Case Management.)
- The UMR position will assist with incoming authorization requests; data entry of clinical information, pre-certification requests.
- Under the supervision of the Transfer Nurses, the Utilization Management Representative is primarily responsible for the collection, reporting, clarification and entry of bed day data and pre and post-acute certification requests for specific services.
- Under the supervision of the Health Service Supervisor, the Utilization Management Representative is primarily responsible for collection of non-clinical data, report generation, health plan coordination for non-clinical issues, and other administrative duties that are required to provide comprehensive coordination of services.
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