Description

Description The Utilization Review Manager for the Selikoff Centers for Occupational Health is responsible for the management of program operations within a particular department/unit. This includes, but is not limited to, the management of: Program-specific applications, quality improvement, staff education, medical records, and internal and external regulatory and survey requirements. The Utilization Review Manager collaborates with multiple professionals to support and coordinate the provision/management of patient benefits. Works closely with the Nursing Clinical Director, Physician Leader, and staff to ensure that assigned department/unit maintains the highest standards of patient care and is responsive to the needs of the patient & family as well as the organization. The Utilization Review Manager will be required to maintain an up-to-date, in-depth knowledge of health program coverage guidelines as well as other relevant standards in making coverage decisions. This position will involve establishing a connection between the standard of care and how it relates to program coverage. Responsibilities Develops, implements, and maintains professional ...