Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Being a Utilization Review Coordinator reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Coordinator consults with physicians as needed. May require a bachelor's degree. Typically reports to a supervisor. Typically requires Registered Nurse(RN). The Utilization Review Coordinator contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. To be a Utilization Review Coordinator typically requires 4 to 7 years of related experience. (Copyright 2024 Salary.com)
Liberty Healthcare is now hiring for a full-time 'Incident Review Specialist’ position.
As an Incident Review Specialist, you will be an active contributor with a large-scale program that seeks to protect and ensure the quality of services and supports provided to older adults and people who are living with developmental disabilities.
You will be an integral part of Liberty Healthcare’s agile team which focuses on initiatives related to critical incident investigations and reporting; continuous quality management; data systems; and HCBS provider oversight, technical assistance, and training.
Your typical workday in this role will involve traveling to residences and service locations throughout the region and conducting investigations of reported adverse incidents related to the home and community based care of people who are living with disabilities.
Specific responsibilities will include:
The downstream impact of your work will contribute to the advancement of systemic quality improvement initiatives that positively impact the health and well-being of a significant number of older adults and people who have intellectual and developmental disabilities.
This is a hybrid position which will allow you to work partially from your home office, and also require you to travel regularly throughout the region. You will enjoy a high degree of autonomy and work a variable schedule which may include occasional evening hours and weekends.
As a valued full-time employee of Liberty Healthcare and Incident Review Specialist, you can expect:
Full details on Liberty's benefits plan are available at www.libertyhealthcare.com/upload/138.pdf
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