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Utilization Review Coordinator (RN)
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- La Rabida Children’s Hospital is hiring a Utilization Review Coordinator - RN for the Case ManagementDepartment in Chicago, IL.
- This position functions as a clinical liaison between LaRabida Children's Hospital and other pediatric healthcare practitioners, agencies, insurers, and families.
- The Utilization Review Coordinator oversees functions of pre-authorization, utilization review, and quality assurance related to utilization review for compliance with state and federal guidelines.
- Initiates expedited appeals on denials by coordinating with the healthcare team to obtain the required information.
- Refers cases and issues to the physician advisor for Utilization Review as needed.
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