Utilization Review Assistant

Assists UM Department with utilization reviews processes, including the collection and analysis of various computer-based data related to Utilization Review, Care Coordination, and Commercial Insurance.

A.

Must have a high school diploma or equivalent. B. Training and

Must have a minimum of one-year work experience in an acute care medical facility. C. Job Knowledge: Familiar with medical terminology, utilization review, community resource a plus.

Basic computer skills required. Be able to communicate effectively verbally and in writing. Unusual Physical Demands and Working Conditions : Should be familiar with healthcare operations.

Experience with the collection and management of data preferred. Familiar with medical terminology, utilization review, and/or medical insurance preferred. Ability to communicate effectively and professionally both verbally and in writing.