Utilization Review Specialist Job at West River Health Services, Hettinger, ND

  • West River Health Services
  • Hettinger, ND

Job Description

West River Health Services is a mission-driven Critical Access Hospital and Rural Health Clinic serving the residents of southwestern North Dakota. Guided by our core values of Excellence, Innovation, Compassion, and Respect, we're committed to providing the kind of quality health care typically found in larger cities, delivered with small-town friendliness and individual care. We believe our employees are the foundation of that commitment, working together to deliver safe, high-quality, patient-centered care.

Job Summary

Under the direct supervision of the HIM Manager, monitors utilization of resources, risk management, and quality of care for patients per established guidelines, collecting clinical information for payer authorization.

Key Responsibilities

- Perform preadmission and retrospective chart reviews

- Coordinate with discharge planning on medical necessity and level of service

- Obtain preauthorization, precertification, and length-of-stay extensions

- Review hospital records daily for appropriate care environment placement

Required

- LPN license or RHIT credential (coding certifications also acceptable: CCS, CCS-P, CPC, CPC-H)

- 3 years relevant experience; minimum 1 year healthcare/clinical experience

West River Health Services is an Equal Opportunity Employer.

Job Tags

Similar Jobs

Concentric LLC

HVAC Mechanical Technician Level 2 Job at Concentric LLC

 ...automation maintenance solutions. Through a nationwide network of technicians, engineers, and support teams, Concentric understands and...  .... We provide reliable, scalable solutions that support data centers, telecommunications providers, utilities, manufacturing, distribution... 

Famous Daves

Prep Cook - Evening Availability Job at Famous Daves

 ...and practicing teamwork. Requirement: All Cooks must be 18 years of age, or older. Previous Cook / Kitchen / Professional Culinary experience strongly preferred Must be eligible to work in the US Whats in it for you? We can offer you: ~401(k) based on... 

TradeJobsWorkforce

Grant Writer Job at TradeJobsWorkforce

 ...Grant Writer Job Duties: Prepares proposals by determining concept, gathering and formatting information, writing drafts, and obtaining approvals. Determines proposal concept by identifying and clarifying opportunities and needs, studying requests for proposal (RFPs... 

Great Hearts Academies

Latin and Greek Teacher Job at Great Hearts Academies

Position: Latin and Greek Teacher Location: Trivium Preparatory Academy ( 2001 N Bullard Ave, Goodyear, AZ 85395 ) Compensation Type: SalaryPosition Summary We are looking for life-long learners passionate about shaping students' hearts and minds. Join Great Hearts Academies... 

JLS ApS

Virtual Entry Level Assistant - Marketing Job at JLS ApS

 ...Virtual Entry Level Assistant - Marketing 1 day ago Be among the first 25 applicants. Exciting Career Opportunity Join Our Team...  ...and longterm career potential. Employment Type: Full-Time / Part-Time Salary Range: $30 $40/hr Job Summary: The ideal candidate...