Utilization Review Specialist
Resource Treatment Center
RiverWoods Behavioral HealthMedical Center DrRiverdale, GA 30274, USA
4d ago
  • Provide accurate and complete clinical information to payors based on synthesized documentation in the medical record
  • Conducts utilization review on all assigned cases and ensures authorizations are completed timely
  • Communicates discharges timely to payors for all assigned cases
  • Attends unit rounds daily and treatment team meetings for assigned patients
  • Collaborates with treatment team regarding quality and completeness of documentation and serves as a resource for nursing and clinical staff on documentation requirement
  • Participates in routine weekly chart auditing as assigned to ensure ongoing compliance with regulatory requirement
  • Coordinates with clinical staff regarding progress of discharge planning for patients
  • Performs other duties as assigned
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