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Utilization Review Specialist
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- Cove Forge is actively hiring a Utilization Review Specialist to act as a liaison between managed care organizations and the facility professional clinical staff.
- Monitor patient length of stay and extensions.
- Inform clinical and medical staff on issues that may impact length of stay.
- Conduct quality reviews for medical necessity and services provided.
- Initiate and complete formal appeal process for denied admissions or continued stay.
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