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5 jobs that use Utilization Management the most

Jobs that use utilization management the most include utilization coordinator, utilities supervisor, and utilization review nurse.

What jobs use Utilization Management the most?

1. Utilization Coordinator

How utilization coordinator uses Utilization Management:

  • Manage and coordinate authorization of denial letters and request for appeals with all levels of services.
  • Manage and coordinate the workload of the release team members and are responsible for organizing and hosting all production release windows.
  • Perform accurate verification of eligibility and benefits as well as advanced application of CPT, ICD-9 and ICD-10 codes.

Most common skills for utilization coordinator:

  • Patients
  • Utilization Management
  • Patient Care
  • Medical Terminology
  • Data Entry
  • Utilization Review

2. Utilities Supervisor

How utilities supervisor uses Utilization Management:

  • Supervise and lead operators and technicians within the utilities engineering department maintaining optimum operation under FDA concern decree and plant closure.
  • Repair and maintain machinery, plumbing, physical structure, electrical wiring and fixtures and all water systems.
  • Perform all payer denial appeals.

Most common skills for utilities supervisor:

  • Safety Training
  • Utilization Review
  • Culinary
  • Utilization Management
  • Utility Systems
  • Safety Procedures

3. Utilization Review Nurse

How utilization review nurse uses Utilization Management:

  • Monitor patients' status during surgery (circulate in operating room) and manage patients in PACU.
  • Case management for acute patients refer to LTC
  • Advise insurance carriers on recommend reimbursement for charges following automate bill audit utilizing ICD-9 and CPT codes.

Most common skills for utilization review nurse:

  • Medical Necessity
  • Patients
  • Acute Care
  • Discharge Planning
  • Utilization Management
  • Utilization Review

4. Utilization Review Coordinator

How utilization review coordinator uses Utilization Management:

  • Initial triage of members, administrative intake of members and managing the admission/discharge information post-notification.
  • Identify and access Medicare entitlement benefits for those patients who meet eligibility requirements both prior to admission and during concurrent review.
  • Include inpatient/outpatient acute setting, SNF, DME.

Most common skills for utilization review coordinator:

  • Patients
  • Patient Care
  • Acute Care
  • Utilization Management
  • Discharge Planning
  • Social Work

5. Medical Specialist

How medical specialist uses Utilization Management:

  • Administer first aid, medication, emergency medical treatment, CPR, triage, and evacuation procedures.
  • Provide tactical medical instruction and services in emergency medical care of patients in austere and complex, out-of-hospital environments.
  • Provide mass casualty triage support, including administering emergency treatment, stabilizing patients, and routing them to appropriate medical facilities.

Most common skills for medical specialist:

  • Patients
  • Customer Service
  • Patient Care
  • Utilization Management
  • Medical Management
  • Patient Education

Other skills