Utilization Management Assistant (UMA), University Inpatient HospitalBrooks Rehabilitation Hospital- University - Jacksonville, Florida 32216Position Type Part Time Job Shift Day Category Administrative & Support ServicesDescriptionReporting to the Utilization Manager. The Assistant has the responsibility for working with the case management and medical teams to ensure judicious use of the facility resources and high quality care. The Utilization Manager supervises a team dedicated to ensuring proper resource utilization and quality care.
A successful utilization manager is organized, assertive, creative, and a great communicator.Job Responsibilities:Monitoring and management of health benefit plansEnsuring proper utilization of resources while ensuring patients receive the care they needInterfaces with interdisciplinary team about utilization challenges and expectationsCreatively addresses barriers to discharge with clinical teamsWork with interdisciplinary team to ensure discharge spreadDevelops solutions for utilization opportunitiesSchedules peer to peer assessmentsSubmits appeals to the QIO or expedited appeals on behalf of the patient when appropriateCommunicates with the team regarding insurance denials, benefit exhaustion, and insurance discrepanciesMaintains documentation requirementsResponsible for providing a positive patient experience through compassion and communicationOther duties as assignedJob Qualifications:Three year experience in healthcare field at minimumEffective communicationExcellent organizational skillsAbility to problem solveComputer proficiencyCompassionShift: 24 hours per week, Monday and Friday are required with Tuesday, Wednesday and Thursday being flexible. 8 hours per day.Location: 3599 University Blvd. S., Jacksonville, Florida 32216 (remote after training)
Utilization Management Assistant (UMA), University Inpatient Hospital (3795) in jacksonville at Unknown Company
This position is listed as part time and able to be worked remotely.