What are the responsibilities and job description for the Lead Utilization Review Coordinator position at Holy Cross Health?
Employment Type
Full time
Shift
Description:
Serves as the senior UR Coordinator by providing process oversight and education toward new staff orientation, and staff competency development for the UR Coordinators.
To support the Holy Cross Health goal of preventing medical necessity write offs through clear and timely communication with third party payers of appropriate utilization; to coordinate with the Physician Advisor, other members of the Documentation Quality & Care Transitions and Care Management colleagues to support and evaluate utilization review activities and to facilitate Medicare compliance activities related to inpatient utilization regulations and Patient Privacy.
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.
00522417
Full time
Shift
Description:
Serves as the senior UR Coordinator by providing process oversight and education toward new staff orientation, and staff competency development for the UR Coordinators.
To support the Holy Cross Health goal of preventing medical necessity write offs through clear and timely communication with third party payers of appropriate utilization; to coordinate with the Physician Advisor, other members of the Documentation Quality & Care Transitions and Care Management colleagues to support and evaluate utilization review activities and to facilitate Medicare compliance activities related to inpatient utilization regulations and Patient Privacy.
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.
00522417
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DIRECTOR - UTILIZATION REVIEW / CASE MGMT
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