• Eagleville Hospital
  • $117,960.00 -188,020.00/year*
  • Eagleville , PA
  • Scientific Research
  • Full-Time
  • 3244 Ridge Pike


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Eagleville Hospital is currently seeking a full time Analyst for our Utilization Review department.

Responsibilities include:

* Reviews admissions to determine medical necessity and appropriateness of treatment.

* Secures necessary data for extended stay reviews.

* Presents abstract (via telecon) of clinical course of treatment, to all various insurance companies and/or their contractual agencies, to justify continued treatment.

* Reviews, abstracts and assigns initial length of stay and extensions of treatment, as appropriate, for Medicare, self-pay and private (non-precertification) insurance companies.

* Communicates all extensions of treatment to clinical teams and Director, Utilization Review.

Qualifications include:

* HS Diploma / GED required, Associates Degree preferred

* Previous UR experience

* Previous experience in a hospital setting preferred

* Requires good writing skills along with the ability to interpret chart terminology

* Knowledge of addiction helpful

Eagleville Hospital, located in Montgomery County, Pennsylvania, is a private non-profit organization dedicated to the treatment, education, and prevention of substance abuse and co-occurring disorders. The hospital serves as a regional resource for the treatment and prevention of alcohol and drug abuse, as well as a national resource for training and research for addiction and related conditions.

We offer a competitive salary and benefits package including health, dental, life insurance, paid time off, and retirement plan contributions.

EOE

* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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