Flexible Work, Better Balance
Full Time
Day Shift
40 hours weekly
Position Purpose:
The Utilization Review (UR) Assistant supports utilization management activities and serves as the central coordinator for postacute prior authorizations (PAs) for skilled nursing, swing bed, CAH swing, acute rehab, LTACH, and other postacute levels of care.
This role drives timely authorization determinations, reduces authorizationrelated delays, supports throughput goals, decreases avoidable inpatient days, and helps ensure efficient discharge planning.
Responsibilities include PA submission and followup, denialprevention support, external notifications, data extraction from the chart, Epic work queue tasks, supporting second IMM processes as needed, coordination with payers and postacute facilities, and administrat...