Job Description
Duration: 3 months contract (with possible extension)
Under the direction of the Manager of UM Operations, the Utilization Management Specialist triages all short stay inpatient admission requests to the appropriate inpatient review nurse and performs data entry into the CaseTrakker, eCare, Jiva and MedHOK systems. The UM Specialist also monitors and resolves pended events. For hospital occurrences, the UM Specialist will data enter the information from the hospital or extended care facility into CaseTrakker, eCare, and/or MedHOK. The UM Specialist is responsible for verbally communicating to the requesting facility of the inpatient notification number. The UM Specialist may be responsible for working reports, daily logs and the end of month reconciliation process as assigned for the delegated provider units.
Key Responsibilities/Essential Functions:
Under the direction of the Manager of UM Operations, the Utilization Management Specialist triages all short stay inpatient admission requests to the appropriate inpatient review nurse and performs data entry into the CaseTrakker, eCare, Jiva and MedHOK systems. The UM Specialist also monitors and resolves pended events. For hospital occurrences, the UM Specialist will data enter the information from the hospital or extended care facility into CaseTrakker, eCare, and/or MedHOK. The UM Specialist is responsible for verbally communicating to the requesting facility of the inpatient notification number. The UM Specialist may be responsible for working reports, daily logs and the end of month reconciliation process as assigned for the delegated provider units.
Key Responsibilities/Essential Functions:
- Receive information by telephone or fax from...
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