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Utilization Coordinator

Company: The Brooklyn Hospital Center
Location: Brooklyn
Posted on: May 16, 2022

Job Description:

High School Graduate or GED Completion of Licensed Practical Nurse Program from accredited institution Two (2) years of experience in acute care hospital facility Hospital or payer utilization review / management experience -- Preferred Inter Qual and/or Milliman, or other criteria experience Current New York State License as Practical Nurse Knowledge of 3rd party payer reimbursement principles Knowledge of Screening Criteria usage Demonstrated skills in the use of personal computers Strong written and verbal communication skills Excellent organizational, interpersonal, negotiation and influence skillsThe Utilization Coordinator performs utilization review and management on a prospective, concurrent or retrospective basis in compliance with the hospital0027s Utilization Review (UR) Plan and 3rd party payer contracts for patients seeking/receiving hospital care and whose payer requires authorization of services by the hospital.

Keywords: The Brooklyn Hospital Center, New York , Utilization Coordinator, Other , Brooklyn, New York

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