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Urgent! Utilization Review Coordinator PRN Job Opening In Greer – Now Hiring Southwest Healthcare System
Responsibilities
To provide quality case management services to all patient populations and their families.
To serve as a member of the interdisciplinary team supporting the organization’s treatment program and philosophy and assure the deliverance of quality treatment to patients and their families.
To proactively monitor and optimize reimbursement for organization services.
• Maintain appropriate records of the Utilization Review Department.
• Prepare and submit appeals.
• Attends mandatory training.
• Conducts admission reviews and pre-certs.
• Conducts concurrent and extended stay reviews.
• Prepares and submits appeals to third party payors.
• Schedules and conducts treatment team meetings to provide total case management of the patient by reading and discussing written progress notes from charts and communicating any state or local agency legal requirement for case management with the interdisciplinary team.
• Participates in activities which enhance professional growth and development.
• Demonstrates conduct in keeping with CCBH’s ethical standards.
• Complies with facility safety, infection control and security program.
• Supports facility service excellence standards.
Graduate of accredited RN program with current RN license, or a Masters in Counseling/Social Work or related field.
Experience in psychiatric nursing preferred; high school, preferably college level reading, writing, and math skills.
Excellent telephone, computer, and communication skills.
Knowledge of health care service delivery systems and third party reimbursement; understanding of admission and discharge function.
Familiar with medical terminology, diagnostic terms and treatment modalities; knowledge of medical record keeping; strong interpersonal, organizational, evaluative, and time management skills; policy interpretation skills.
Must be familiar with applicable standards and regulations.
Flexible; pays attention to detail; able to comprehend psychiatric evaluations, consults, labs, etc.; responsiveness to deadlines; assertiveness, persistence and persuasiveness; able to work with minimal direction or supervision.
✨ Smart • Intelligent • Private • Secure
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Unlock Your Utilization Review Potential: Insight & Career Growth Guide
Real-time Utilization Review Jobs Trends in Greer, United States (Graphical Representation)
Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph below. This graph displays the job market trends for Utilization Review in Greer, United States using a bar chart to represent the number of jobs available and a trend line to illustrate the trend over time. Specifically, the graph shows 4421 jobs in United States and 2 jobs in Greer. This comprehensive analysis highlights market share and opportunities for professionals in Utilization Review roles. These dynamic trends provide a better understanding of the job market landscape in these regions.
Great news! Southwest Healthcare System is currently hiring and seeking a Utilization Review Coordinator PRN to join their team. Feel free to download the job details.
Wait no longer! Are you also interested in exploring similar jobs? Search now: Utilization Review Coordinator PRN Jobs Greer.
An organization's rules and standards set how people should be treated in the office and how different situations should be handled. The work culture at Southwest Healthcare System adheres to the cultural norms as outlined by Expertini.
The fundamental ethical values are:The average salary range for a Utilization Review Coordinator PRN Jobs United States varies, but the pay scale is rated "Standard" in Greer. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively. We advise reading the full job specification before proceeding with the application to understand the salary package.
Key qualifications for Utilization Review Coordinator PRN typically include Other Healthcare Practitioners And Technical Occupations and a list of qualifications and expertise as mentioned in the job specification. Be sure to check the specific job listing for detailed requirements and qualifications.
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Here are some tips to help you prepare for and ace your job interview:
Before the Interview:To prepare for your Utilization Review Coordinator PRN interview at Southwest Healthcare System, research the company, understand the job requirements, and practice common interview questions.
Highlight your leadership skills, achievements, and strategic thinking abilities. Be prepared to discuss your experience with HR, including your approach to meeting targets as a team player. Additionally, review the Southwest Healthcare System's products or services and be prepared to discuss how you can contribute to their success.
By following these tips, you can increase your chances of making a positive impression and landing the job!
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