Specialist, Utilization Review
Employment type
Full-time
Work setting
On-site
Location
Columbus, OH
Schedule
Day shift
Posted
You'll be redirected to the employer's application page.
Job overview
The Specialist, Utilization Review is an onsite role based in Columbus, OH. Compensation is not specified. This position facilitates clinical reviews for patient admissions and continued stays at Columbus Springs East. This role is responsible for analyzing patient records to determine the legitimacy of admission, treatment, and length of stay. The specialist advocates on behalf of patients with managed care organizations and ensures that documentation requirements are met for insurance authorization.
What you'll do
- Facilitates clinical reviews, completes pre- and re-certifications, communicates with interdisciplinary teams, and manages appeals.
What we're looking for
- Skills & competencies
- full-timeday shiftcolumbus ohutilization reviewhealthcarerevenue cyclepsychiatricinsuranceauthorizationonsite
- Work arrangement
- Weekend coverage required
Benefits & perks
- Health, Dental, Vision, 401K, PTO, Tuition Assistance
Why this role
Supports a 72-bed behavioral health hospital.
About the employer
Columbus Springs East is hiring for this role. Industry: Psychiatric and Substance Abuse Hospitals. Sector: 62.
Additional details
- Industry sector
- 62
- Industry
- Psychiatric and Substance Abuse Hospitals
- Occupation code
- 29-1141.00
You'll be redirected to the employer's application page.
Listing ID: 5ee606ea-2308-475f-8422-8034a4b95d1b