Utilization Review Specialist Jobs in Malheur, Oregon
Are you looking for an exciting opportunity to use your clinical and administrative skills to help ensure quality patient care? We are looking for a Utilization Review Specialist to join our team and help us provide the best care possible. As a Utilization Review Specialist, you will be responsible for reviewing and analyzing patient medical records to ensure that services are medically necessary and meet the standards of care. You will also be responsible for providing guidance and support to providers and staff to ensure compliance with regulatory requirements. If you are looking for a challenging and rewarding position, this is the job for you!
Overview:
A Utilization Review Specialist is responsible for ensuring that health care services are provided in an efficient and cost-effective manner. They review medical records and other documentation to determine the appropriateness of services provided and to ensure that services are in compliance with applicable regulations. Utilization Review Specialists also provide guidance to health care providers on the most cost-effective and appropriate treatments for their patients.Detailed Job Description:
Utilization Review Specialists are responsible for reviewing medical records and other documentation to ensure that health care services are provided in an efficient and cost-effective manner. They evaluate the appropriateness of services provided and ensure that services are in compliance with applicable regulations. Utilization Review Specialists also provide guidance to health care providers on the most cost-effective and appropriate treatments for their patients. They may also be responsible for developing and implementing utilization review plans, policies, and procedures.What is Utilization Review Specialist Job Skills Required?
What is Utilization Review Specialist Job Qualifications?
What is Utilization Review Specialist Job Knowledge?
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What is Utilization Review Specialist Job Responsibilities?
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