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

Christus Health

CRNA, Certified Registered Nurse Anesthetist, Surgery Center Job at Christus Health

 ...Summary: CHRISTUS Health - Shreveport is looking for a Full-time CRNA to work 40 hours a week, no call, no weekends--7A-5P, 4 days/...  ...the responsibility and accountability for providing advanced nurse practice while administering anesthesia to patients. This Job is... 

Boom Therapy Group

Speech Language Pathologist Assistant Job at Boom Therapy Group

 ...Speech Language Pathology Assistant (SLPA) Boom Therapy Group is a patient focused practice with offices in Kings Mountain, Lincolnton, Mount Airy and Yadkinville, NC. We provide evaluation and treatment of pediatrics and adults. Whether to refine an old skill or develop... 

Carroll College

Web & Graphic Designer Job at Carroll College

 ...Hours Per Week 37 Number Of Positions 1 Job Description Description: Carroll College invites applications for a Web & Graphic Designer. This position will support the Colleges branding and marketing efforts by developing marketing content as a print and graphic... 

Affordable Care

Dental Lab Full Technician Job at Affordable Care

 ...waxing, bending wire, finishing and processing.ESSENTIAL FUNCTIONS:Relines, repairs, occlusal rims and custom trays.Full dental technicians also periodically serve as associate lab manager in that persons absence, and are expected to understand OSHA protocol and be... 

Montefiore Einstein

Telephone Operator Job at Montefiore Einstein

 ...pagers- swaps and activations) is required.Essential FunctionsMMC Telephone directory, paging vendor program, emergency notification...  ...Notifies supervisor of changes in directory in a timely manner.Operates and maintains communication equipment correctly. Understands and...