The specialist conducts daily assessments of medical records to maintain clinical integrity and ensure adherence to medical necessity standards. They also create training initiatives for clinical personnel and work together with providers to minimize denials and enhance the accuracy of documentation. Applicants should possess a Bachelor’s degree in Nursing or a Master’s degree in Social Work or Psychology. A minimum of three years of experience in a hospital clinical setting is necessary, with a preference for those who have experience in utilization management.
UHS provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
