Job Posting
Utilization Review Clerk - Case Management
JOB SUMMARY:
Coordinates the appropriate use of resources in the Hospital to best serve the needs of the patient and facility, including communicating with payer sources, (insurance companies, Medicare, Medicaid, etc.) to obtain pre-certification of care as necessary. Assists in preparing Swing Bed referrals for review by clinical staff. Communicates with physicians/Case Management/House Charge/Nurse Manager/co-workers, as necessary to promote the efficient provision of medical care in the Medical-Surgical Department. Provides physicians with information as required to help them to determine appropriate patient status prior to placement on the Medical-Surgical Department. Completes miscellaneous duties to promote the efficient provision of Utilization Review and Case Management Services to all patients. This is a Monday through Friday dayshift position, scheduled for 40 hours per week, with an additional 4 hour shift every 4th weekend.
QUALIFICATIONS
A. Education: High school graduate or GED required, Associate’s Degree desirable.
B. Training and Experience: Case Management experience and Medical terminology preferred.
C. Job Knowledge: Sufficient knowledge of English, grammar, spelling, and arithmetic to compile records, maintain records, and perform various duties.
Additional Information
Position Type : Full Time
Shift : Day
Hourly Wage: $17.82 - $28.35 per/hour (Actual wage depends on experience.)
Contact Information
Elizabeth Wise - Human Resource Director
Human Resources
900 North Washington Street
Du Quoin, IL 62832
Email: elizabeth.wise@mbhdq.com
Phone: 618-542-1003
Fax: 618-542-4756 |
