Utilization Review Assistant

Position Summary

Assists UM Department with utilization review processes, including the collection and analysis of various computer-based data related to Utilization Review, Care Coordination, and Commercial Insurance.

Qualifications

• Education: Must have a high school diploma or equivalent.
• Training and Experience: Must have a minimum of one-year work experience in an acute care medical facility.
• Job Knowledge: Familiar with medical terminology, utilization review, community resource a plus. Basic computer skills required. Be able to communicate effectively verbally and in writing.
• Should be familiar with healthcare operations.
• Experience with the collection and management of data preferred.
• Familiar with medical terminology, utilization review, and/or medical insurance preferred.
• Ability to communicate effectively and professionally, both verbally and in writing.