Utilization Review & Care Coordination Specialist

Samhsa; New York (NY); On-site; USD 60,000 - 75,000; Full time

Job summary

Samhsa in New York seeks an Utilization Review Specialist to bridge inpatient and ambulatory services with managed care organizations. You will manage authorizations for all care levels and review medical necessity while closely coordinating with our inpatient and outpatient teams.

The role requires at least one year in healthcare or managed care and a Bachelor’s degree in Human or Health Services (preferred). This position is based at our New York facility.

Qualifications

• One year of experience in healthcare or managed care settings.
• Undergraduate/Bachelor Degree in Human or Health Services (preferred).

Responsibilities

• Liaison between hospital inpatient and ambulatory services and managed care organizations.
• Obtain authorization for all levels of care and perform medical necessity reviews.
• Monitor patient benefits and coordinate with hospital departments.

Skills

Healthcare experience

Managed Care knowledge

Education

Bachelor's degree in Human or Health Services

Job description

Samhsa in New York seeks an Utilization Review Specialist to bridge inpatient and ambulatory services with managed care organizations. You will manage authorizations for all care levels and review medical necessity while closely coordinating with our inpatient and outpatient teams.

The role requires at least one year in healthcare or managed care and a Bachelor’s degree in Human or Health Services (preferred). This position is based at our New York facility.