Utilization Review Technician conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Being a Utilization Review Technician reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Technician consults with nurses and physicians as needed. Position is non-RN. May require an associate degree or its equivalent. Typically reports to a supervisor. May require Registered Health Information Technician (RHIT). The Utilization Review Technician gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Utilization Review Technician typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
PMC Medical Group, a well-established independently owned multi-disciplinary practice, is seeking a full-time Utilization Review Specialist.
Summary: Provide comprehensive assessment, planning, implementation, and evaluation of individual patient care needs. Coordinate and promote continuity of care and cost effectiveness through the functions of case management, utilization review and authorization management.
Essential Functions:
Education/Experience Requirements
Pay dependent upon on education and past experience.
As a team member at PMC Medical Group, you’ll enjoy:
Job Type: Full-time
Work Location: Hybrid remote in Somersworth, NH 03878