Job Information
Arizona Employer Utilization Management Assistant - Full Time, Days/Weekends in Show Low, Arizona
This job was posted by https://www.azjobconnection.gov : For more information, please see: https://www.azjobconnection.gov/jobs/6745500
Essential Functions / Major Responsibilities:
Collaborates with clinical and financial staff to meet patient needs.
Assists with Utilization Management services and Case Manager functions.
Assesses utilization-related situations and collects necessary clinical and financial information.
Reviews data and problem solves situations.
Compiles, organizes and communicates recovery audit activity.
Collaborates with Health Information Management (HIM) to assure data is entered and recovery audit processes are completed in a timely manner.
Communicates transfer, referral, and discharge information to healthcare providers and agencies.
Coordinates the utilization review (UR) process, faxes records to utilization review agencies, and maintains database and UR document storage functions.
Generates reports, graphs, spreadsheets, etc.
Coordinates office functions, ordering, copying, etc.
Displays proper etiquette and mannerisms that reflect the SHINE Behavior Guidelines.
Promotes the Patient Safety Standards as a core value of the organization.
Secondary Functions:
Participates in departmental and hospitalwide informational meetings and inservices, including staff meetings, hospitalwide forums, and seminars.
Reviews department and hospitalwide policies and procedures annually.
All other duties as assigned.
Additional / Seasonal Responsibilities:
None.
Job Scope:
This job involves:
Frequent new and varied work situations.
A moderate to high level of complexity.
Typical determination of own practices and procedures. Contributes to the development of new services, programs, or processes.
Performance under minimal to moderate supervision.
