Utilization Review Case Mgr Pr
Company: Cedars-sinai
Location: Alhambra
Posted on: August 4, 2022
|
|
Job Description:
Align yourself with an organization that has a reputation for
excellence! Cedars Sinai was awarded the National Research
Corporations Consumer Choice Award 19 years in a row for providing
the highest-quality medical care in Los Angeles. We were also
awarded the Advisory Board Companys Workplace of the Year. This
award recognizes hospitals and health systems nationwide that have
outstanding levels of employee engagement. Join us, and discover
why U.S. News & World Report has named us one of Americas Best
Hospitals!What You Will Do in This Role:The Utilization Review Case
Manager validates the patient's placement to be at the most
appropriate level of care based on nationally accepted admission
criteria. The UR Case Manager uses medical necessity screening
tools, such as InterQual or MCG criteria, to complete initial and
continued stay reviews in determining appropriate level of patient
care, appropriateness of tests/procedures and an estimation of the
patient's expected length of stay. The UR Case Manager secures
authorization for the patient's clinical services through timely
collaboration and communication with payers as required. The UR
Case Manager follows the UR process as defined in the Utilization
Review Plan in accordance with the CMS Conditions of Participation
for Utilization Review.by Jobble
Keywords: Cedars-sinai, Alhambra , Utilization Review Case Mgr Pr, Advertising , Alhambra, California
Click
here to apply!
|