Utilization Review Specialist Job at West River Health Services, Hettinger, ND

WEpkZXJaUmFtMXI4OWxXZGYyNHBJb1ZKSVE9PQ==
  • West River Health Services
  • Hettinger, ND

Job Description

West River Health Services is a mission-driven Critical Access Hospital and Rural Health Clinic serving the residents of southwestern North Dakota. Guided by our core values of Excellence, Innovation, Compassion, and Respect, we're committed to providing the kind of quality health care typically found in larger cities, delivered with small-town friendliness and individual care. We believe our employees are the foundation of that commitment, working together to deliver safe, high-quality, patient-centered care.

Job Summary

Under the direct supervision of the HIM Manager, monitors utilization of resources, risk management, and quality of care for patients per established guidelines, collecting clinical information for payer authorization.

Key Responsibilities

- Perform preadmission and retrospective chart reviews

- Coordinate with discharge planning on medical necessity and level of service

- Obtain preauthorization, precertification, and length-of-stay extensions

- Review hospital records daily for appropriate care environment placement

Required

- LPN license or RHIT credential (coding certifications also acceptable: CCS, CCS-P, CPC, CPC-H)

- 3 years relevant experience; minimum 1 year healthcare/clinical experience

West River Health Services is an Equal Opportunity Employer.

Job Tags

Similar Jobs

Federal Express Corporation

Seasonal Package Handler - Part Time (Warehouse like) Job at Federal Express Corporation

 ...IMMEDIATE OPENINGS! Come for a job and stay for a career! Federal Express Corporation (FEC) is part of the rapidly growing warehouse...  ...rate of pay reasonably expected for this posted position upon hire. In CT, IL, MD, MN, and NJ any compensable Security and Walk Time... 

Performance Food Group

Experienced Class A Truck Driver Job at Performance Food Group

Deliver food and food-related products to customers on local and overnight routes using a tractor-trailer or straight truck. Responsibilities include conducting vehicle inspections, safely handling and unloading freight, completing delivery paperwork, verifying orders... 

English 1

Entry-Level English Teacher (ESL) | Visa Sponsored Job at English 1

 ...you're a recent graduate , exploring a career change , or an ESL/TEFL-certified teacher ready to take your skills overseas, this...  ...motivated, globally minded individuals for full-time English teaching jobs in China . No teaching experience? No problem. We provide... 

TEKsystems

Research Assistant Job at TEKsystems

 ...third-party customers. Your human-centered research process will incorporate a variety of...  ...Account (HSA)Transportation benefitsEmployee Assistance ProgramTime Off/Leave (PTO, Vacation or...  ...0, 2026.Workplace TypeThis is a fully remote position.About TEKsystemsWe're... 

University of Florida Health

Med Technologist - Cytogenetics | Pathology | Full-Time | Days Job at University of Florida Health

 ...is eager to make a difference in a dynamic healthcare environment.This Molecular licensed Medical Technologist will perform specialized testing in the area of Cytogenetics in a CAP accredited laboratory. This position will assist with cell culture, pre-treatments, preparing...