Clinical Utilization Review Specialist Job at CaroMont Health, Gastonia, NC

  • CaroMont Health
  • Gastonia, NC

Job Description

CaroMont Health in Gastonia, NC seeks an Utilization Review Specialist to perform initial reviews of medical necessity for admissions within 24 hours, determine status and level of care, and communicate with physicians to ensure accurate decisions. You will document reviews in the medical record, participate in retrospective reviews and appeals, and collaborate with discharge planning and Managed Care. The UR role may cross-train as Commercial Resource Analyst when needed. #J-18808-Ljbffr

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