York, PA | Professional | Tracking Code: 85664
Utilization Management Specialist
May 18 In-Person Hiring Events
10:00 a.m. – 2:00 p.m.
WellSpan Ephrata Community Hospital, Ephrata / WellSpan Surgery and Rehabilitation Hospital, York / WellSpan Waynesboro Hospital, Waynesboro
WellSpan Ephrata Community Hospital, Ephrata / WellSpan Surgery and Rehabilitation Hospital, York / WellSpan Waynesboro Hospital, Waynesboro
Positions: Certified Sterile Processing Technicians, Food Services, Housekeeping, LPN, Medical Assistant, Nursing, Nursing Support, Pharmacy, Allied Health: Lab Services, Respiratory, Imaging, Surgical Technologist, Home Health RN, Home Health LPN
May 25 In-Person Hiring Events
10:00 a.m. – 2:00 p.m.
WellSpan Medical Group, York
WellSpan Medical Group, York
Positions: Dental Assistant, Dental Hygienist, Medical Assistant, LPN, Patient Service Specialists
MAY
2022
2022
In-Person Hiring Events -
Various Locations and Dates
Various Locations and Dates
Job Description:
Under direct supervision, performs a variety of duties related to pre-certification requirements for Medicare, Medical Assistance and third party payers. Assists with data collection, analysis and reporting.
Duties and Responsibilities
- Reviews assigned cases for preauthorization and coordinates authorization and certification.
- Performs concurrent review of cases to obtain continued stay authorization.
- Works closely with and prepares information for outside review agencies.
- Collects, reviews and retrieves data from records and reports for quality assessment, audit, study and research purposes.
- Supports the Utilization Management Nurse with case research and analysis.
- Works with medical and professional staff on a case-by-case basis to obtain appropriate clinical documentation for
- review as well as coding activities and DRG assignments.
Qualifications
- Notes:
- Other combinations of formal education, training and experience may be considered.
- Minimum Experience:
- 2 - 3 years
- Previous coding experience is a plus
- Any prior authorization experience a plus
- Any Oncology experience a plus
- Minimum Education:
- Associate's Degree
- Minimum Field Of Expertise:
- Utilization Management
- Skills:
- Basic computer skills
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Why WellSpan Health?
Join our team of 20,000 strong working as one. Teamwork, collaboration, partnership—WellSpan Health is an integrated system designed to work as one to build healthier, stronger communities throughout central Pennsylvania and northern Maryland. We are committed to transforming the health of the communities we serve and to educating the next generation of clinicians, staff and leaders.
Employment Benefits
- Sign-on incentives for new employees (click here for details)
- Medical, dental and vision insurance
- Life and accidental death insurance
- Supplemental life insurance
- Retirement savings plan
- Paid time off (PTO)
- PTO bridging
- Short-term disability
- Educational assistance
- Forgivable loan
- Flexible spending
- Credit union
- Employee recreational activities
- Childcare
- Complimentary medicine discounts
Diversity & Inclusion
Welcome. Respect. Value.
Wellspan Health believes that diversity includes all the human characteristics that make each of us similar as well as different. We strive to make every person feel welcomed, respected, and valued while creating a safe and inclusive environment where we all have the individual freedom to express our uniqueness in a respectful manner.
WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability, or any other legally protected characteristic. WellSpan Health does, however, have a tobacco-free/nicotine-free hiring policy.
Quality of Life
Founded in 1741, the city of York is considered by many as the first capital of the United States. The Articles of Confederation were signed by the Second Continental Congress here in 1777. Its beautifully restored historic district is an architectural treasure. While York retains its farming and manufacturing heritage, at its heart York is a thriving cultural community that has attracted creative talent and innovative entrepreneurial investors from across the nation.
Life in York County offers affordable housing, options for higher education, a thriving arts and cultural community, historical attractions, parks and recreational resources, semi-professional baseball team, fine dining and more — within an easy drive of major East Coast cities.
York County residents can find local employment in healthcare, manufacturing, technology, agricultural and service sectors. (Patient population: 445,000)
