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Accountabilities:
- Assess referred concurrent denials and determine next steps for resolution.
- Review medical record documentation to support denial management strategies.
- Collaborate with leadership to optimize payor agreements.
Requirements:
- Current Registered Nurse license or multi-state Registered Nurse license.
- Four years of clinical experience in a hospital setting.
- Three years in Utilization Review or Clinical Appeals.
Benefits:
- Flexible working hours with remote work options.
- Opportunities for professional development and training.
- Collaborative environment with interdisciplinary teams.
Connecticut General
They are currently looking for a Utilization Management Coordinator. By enhancing operational efficiencies and implementing educational initiatives, this role significantly impacts the financial and quality outcomes of healthcare delivery.