Utilization Review-Case Management (Full-Time)

Aurora San Diego(6 months ago)

San Diego, USOnsiteFull TimeMedior$64,000 - $120,000Utilization Review

About this role

A Utilization Review professional who works as part of a multi-disciplinary treatment team to review clinical appropriateness for inpatient and outpatient services and manage payer interactions. The role focuses on monitoring utilization and reimbursement processes, supporting clinical documentation, and collaborating with clinical teams. Typical schedule is Monday to Friday, daytime hours.

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Required Skills

Utilization Review
Concurrent Review
Appeals Management
Recordkeeping
Staff Training
Microsoft Office
Organization
Communication
Interpersonal Skills
Medical Terminology

+3 more

Qualifications

RN
LVN/LPT
LCSW
Master's Degree in Social Work or Behavioral Science
BLS Certification

About Aurora San Diego

aurorasandiego.com

Aurora San Diego is a healthcare organization dedicated to providing compassionate care and support focusing on mental health and wellness. With a commitment to healing and hope, Aurora San Diego offers a variety of services aimed at helping individuals navigate their mental health journeys. Their slogan, "Where Health, Hope, and Healing Begins," reflects their mission to foster a supportive environment for patients and their families. The organization emphasizes connection and outreach through their social media platforms and provides easy access to assistance via their toll-free helpline.