YonkersRecruiter Since 2001
the smart solution for Yonkers jobs

Utilization Management Specialist

Company: VirtualVocations
Location: Yonkers
Posted on: July 3, 2024

Job Description:

A company is looking for a Utilization Management Specialist (Home-Based) - Prior Authorization.

Key Responsibilities:

Conduct level of care medical necessity reviews within patient's medical records
Perform utilization management activities to ensure compliance with accreditation/regulatory requirements
Collaborate with healthcare team to promote medically necessary resource utilization and fiscal outcomes

Required Qualifications:

Bachelor's degree in nursing preferred
Graduate from a nationally accredited nursing program
Unencumbered registered nurse (RN) license with the State Board of Nursing
Obtain and maintain required department-specific competencies and certifications
Working knowledge of payer standards for utilization management functions

Keywords: VirtualVocations, Yonkers , Utilization Management Specialist, Executive , Yonkers, New York

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Log In or Create An Account

Get the latest New York jobs by following @recnetNY on Twitter!

Yonkers RSS job feeds