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Company: Phoenix Children´s Hospital – You'll love the work environment we provide. You'll also love the 300+ days of sun every year. Title:
Utilization
Review
Location:
Phoenix,
Arizona
Description:
Schedule: Full-time
Description Phoenix Children's Hospital is the only specialty children's hospital in Arizona and it is poised to become one of the foremost pediatric hospitals in the nation. The hospital is home to the state's largest group of pediatric specialists and sub-specialists. In addition, the hospital continues to evolve its clinical practices and is working with leading local and national research partners to uncover new breakthroughs in pediatric medicine. Currently a 299 bed facility, new construction plans were unveiled in October 2006 that include the building of two new patient bed towers and expansion in bed capacity and other key programs and services over the course of the next several years. In short, PCH is a growing, thriving organization where opportunities for personal development and promotion of our employees will continue in years to come. Primary Purpose: Collaborates with Case Management staff, Admitting Financial Counselors, physicians and Admitting Dept. staff to facilitate, assist, and ensure reimbursement from third party payors through daily thorough and comprehensive review of all accounts that require clinical documentation and/or intervention by a board certified clinician. Reviews federal Section 1011 cases for stabilization requirements and assists with denial management processes. Work Environment: Activities are performed in an environmentally controlled office area subject to long periods of sitting, standing and walking; may be required to bend, reach, lift, pull and push up to 20 pounds; regularly experiences frequent interruptions, high stress levels, changing priorities and distractions associated with working with multiple patient accounts and third party payors. Ability to clearly communicate in English, read, write, see and hear to perform essential duties. Posting
Date: May 15 08
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