Utilization Review Specialist
Oklahoma Department of Mental Health and Substance Abuse Services · Noble, OK
$39k/yrPosted 7h agoHealthcare & Nursing
Position summary
About the Position : The Utilization Review (UR) Specialist supports the facility’s utilization management processes. Responsibilities include preparing documentation for pre-certification of admissions and continued stays, serving as a liaison with gatekeepers, HMOs, OHCA, and insurance providers, and maintaining daily logs and tracking spreadsheets. The UR Specialist collects and analyzes data related to medical record documentation compliance, inappropriate admissions, delays in services and…
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