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Utilization Management Specialist-MSH-Case Management-FT-Days

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Mount Sinai Health System
πŸ“ New York, United States
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Location New York
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Posted April 04, 2026
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Commute Local Area
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Job Description


Description

Utilization Management Specialist MSH Case Management FT DaysΒ 


This position is responsible for coordinating requests for clinical information from third party payers and providing support to a broad client base, both internal and external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing stay. This position also facilitates and tracks concurrent adverse determinations and collaborates with Appeals Management Department in managing retrospective denials.


Responsibilities
  • Admission: Payer Authorization & Denials Management.Β Communicate with payer to obtain request for clinical information, payer authorization and determination follows up at regular interval to ensure payer response. Coordinate peer to peers
  • Data Entry & Reporting.Β Responsible for all relevant communication with payers (time stamped) and entered into...
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    πŸ“ Location Details

    πŸŒ†
    City
    New York
    πŸ—ΊοΈ
    Country
    United States
    πŸš—
    Commute
    Local Area

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