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Mosaic Life Care

Utilization Review Assistant

Career Insights for Clinical Auditor / Utilization Reviewer

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Based on Missouri data

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What they do

A Clinical Auditor or Utilization Reviewer reviews the efficiency of healthcare delivery. Individuals tend to have had experience as a registered nurse or other healthcare delivery roles before transferring into this quality review role.

$94,243 / year median in Missouri

-9% projected decline

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Job Description

The Utilization Review Assistant is responsible for the administrative components of Utilization Management that primarily focuses on supporting the medical review process. Responsible for communication of required healthcare documents to patients and/or representatives. Adhere to regulatory and compliance standards Understanding benefits including Medicaid and Medicare Work closely with utilization review staff, care managers and social workers to assist with any administrative responsibilities or needs. Documentation entry Phone and Voicemail retrieval Mail distribution within the department Worklist management Other duties assigned Education H.S. Diploma
  • or GED
  • Required Work Experience Experience in healthcare, managed care, hospital, or clinical setting, or other comparable work experience.
  • Preferred Licenses and Certifications Upon Hire Travel Requirements Travel to off-site locations may be required.
  • Required