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:

A.

Education:

Must have a high school diploma or equivalent. B.

Training and Experience:

Must have a minimum of one-year work experience in an acute care medical facility. C.

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.

Unusual Physical Demands and Working Conditions:

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.