Utilization Review Coordinator

2 weeks ago


Chennai, India Netmark buisness services Full time

Establishes and maintains efficient methods of ensuring the medical necessity and appropriateness of hospital admissions.
- Performs concurrent reviews for patients to ensure that extended stays are medically justified and are so documented in patient's medical records.
- Coordinates and supervises the activities of the Utilization Review Department.
- Calculates the lengths of stay and continued-stay days for patients.
- Refers to the Utilization Review Physician Advisor cases that do not meet established guidelines for admission or continued stay.
- Assists the Utilization Review Committee in the assessment and resolution of utilization review problems.
- Identifies problems related to the quality of patient care and refers them to the Quality Assurance Committee.
- Maintains communication with the Social Service Department to facilitate timely discharge planning.
- Compiles monthly reports and statistics for presentation to the Utilization Review Committee.

Schedule:

- Night shift

**Experience**:

- total work: 2 years (preferred)



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