A company is looking for a Utilization Review Specialist to monitor and ensure the effective use of outpatient services.
Key Responsibilities
Establish and maintain methods for ensuring medical necessity and appropriateness of outpatient admissions
Perform concurrent reviews to justify extended patient stays and document findings
Compile monthly reports and statistics for the Utilization Review Committee
Required Qualifications
Graduation from an accredited university in Psychology, Sociology, or a similar behavioral health field
One year of utilization review experience preferred
Active CPR Certification
Utilization Review Specialist • Saint Paul, Minnesota, United States