Case Manager, Per Diem
UMass Memorial Medical Center(19 days ago)
About this role
The Case Management/Utilization Review Coordinator at UMass Memorial Health is a clinical professional responsible for monitoring hospital utilization, managing denial appeals, and ensuring regulatory compliance. They collaborate with healthcare teams and payers to optimize patient care and reimbursement.
Required Skills
- RN
- Utilization Review
- InterQual
- Care Planning
- Appeals
- Reimbursement
- Regulatory Compliance
- Data Management
- Clinical Documentation
- Negotiation
About UMass Memorial Medical Center
ummhealth.orgUMass Memorial Health is the largest health care system in Central Massachusetts offering the region’s most sophisticated medical technology & support services.
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