Description
Location: UCHealth Leprino Building AMC, Aurora, CO
Department: UCH Utilization Management
Work Schedule: Full Time, 80.00 hours per pay period (2 weeks)
Shift: Days
Pay: $38.91 - $60.31 / hour. Pay is dependent on applicant's relevant experience
This position is an onsite role and does not offer a hybrid or remote option
Summary:

• Ensures that services are delivered and documented in a manner that balances quality of care with efficiency, cost-containment and compliance.

Responsibilities:

• Reviews admissions and service requests within assigned unit for prospective, concurrent, and retrospective medical necessity and/or compliance with reimbursement policy criteria. Provides case management and/or consultation for complex cases.
• Assists departmental staff with issues related to Milliman (or similar) guidelines, status determination, medical records/...