1 accounting jobs found in Saginaw, MI

Overview: The Utilization Management Specialist demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant HealthCare and the commitment to Extraordinary Care for Every Generation. The Utilization Management Specialist provides support for the Clinical Resource Management Department by serving as a liaison with external agencies and third party payers. The Utilization Management Specialist will apply approved clinical appropriateness criteria, InterQual™ Acute Care Criteria, to monitor appropriateness of admission and continued stays and documents findings based on Department standards. Responsibilities includes collaborating with Case Management Specialist, physicians, payers, Patient Accounting, Health Information Management, Admitting, and other members of the health care team, and communicating with external parties to achieve desired outcomes for...