Inpatient Clinical Specialist - Portsmouth Virginia

Company: VirtualVocations
Location: Portsmouth, Virginia
Posted On: 01/22/2025

A company is looking for a Utilization Management - Inpatient Clinical Specialist.



Key Responsibilities

Research and review inpatient utilization management requests, ensuring completeness of information
Communicate with internal and external stakeholders to facilitate compliance with regulatory and quality standards
Organize and maintain reference documents, contributing to continuous improvement within systems and workflows


Required Qualifications

High school diploma or equivalent
Clinical experience is required, with at least 2 years preferred
CMA or CNA certification is preferred
Knowledge of medical terminology, anatomy, and coding
Experience with healthcare systems, documentation, EMRs, billing, and claims More...

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