Utilization Management Specialist

France Cars SAS AAA(27 days ago)

RemoteFull TimeMedior$91,106 - $122,883 (estimated)Utilization Management

About this role

A Utilization Management Specialist at Logan Health performs clinical review of inpatient and observation admissions to ensure appropriate admission status and support resource management. This fully remote role (available only to Montana residents) works closely with physicians, case management, and payors to support clinical decision-making and compliance. The position is full-time with a four 10-hour day schedule and rotating weekend coverage.

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Required Skills

Acute Care
Clinical Judgment
Utilization Review
Case Management
Medical Necessity
EMR
Communication
Documentation
Insurance Authorizations
Appeals Management

+1 more

Qualifications

Current Montana RN License
Multi-State Compact RN License
Associate Degree (RN)
Bachelor’s Degree in Social Work
Master’s Degree in Social Work
Bachelor’s Degree Preferred (RN)

About France Cars SAS AAA

bloomberg.com

Bloomberg is a global leader in financial information and technology, providing data, news, and analytics to financial professionals around the world. The company offers an array of products and services, including the Bloomberg Terminal, which delivers real-time data and insights for trading, investment, and risk management. With a commitment to innovation, Bloomberg combines cutting-edge technology with extensive market expertise to empower financial professionals in making informed decisions.

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