Assists the utilization review process taking on various tasks including data collection of demographic, claim and medical information; non-medical analysis; and outcomes reporting. Performs routine record keeping tasks. Provide clerical support to the department. High School or equivalent combination of training, education and experience. One (1) year utilization review, chart review and/or previous experience in healthcare preferred. Computer skills, data entry and filing skills. At Vista del Mar Hospital, you will find yourself in a position with great growth potential. We make it a priority to provide advancement opportunities and ongoing education for our entire team, in both clinical and non-clinical roles. This helps us ensure ongoing patient safety and quality care across our facility. Each of our professionals is compassionate and committed to the goal of excellence in the mental health care industry. Because we bring on the most reputable and experienced healthcare professionals to fill our open behavioral health jobs, our goal is to keep them long-term. This is better for patients and our own staff, as it allows everyone to feel more comfortable in their environment. Although a mental health career with Vista del Mar can be extremely rewarding in its own right, we understand the importance of employee benefits. Vista del Mar offers the following: Health Insurance Vision Insurance Dental Insurance 401K Retirement Plan Healthcare Spending Account Dependent Care Spending Account PTO Plan Discounted Cafeteria Meal Plan Life Insurance (Supplemental Life, Term and Universal plans are also available.) Short and Long-Term Disability (with additional buy-in opportunities) #J-18808-Ljbffr
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...RESPONSIBILITIES Performs utilization management activities including prior authorization review, concurrent review, retrospective review, and appeal review activities utilizing approved medical necessity criteria, organizational policies, contractual requirements, and...
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