oraclecloudinfrastructure
The Utilization Review Specialist facilitates clinical reviews for patient admissions and continued stays, analyzing records to determine the legitimacy of treatment and length of stay. This role involves interfacing with managed care organizations and payers to advocate for patients, particularly those with substance abuse, psychiatric, or emotional disorders, to secure necessary coverage. The position requires completing pre- and re-certifications, managing appeals, and communicating with the interdisciplinary team to ensure documentation and authorization requirements are met.
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Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
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oraclecloudinfrastructure didn’t post a salary, so this is our estimate from similar listings.