Job Title: Asst Utilization Coordinator - Denials/Appeals
Company: Westchester Medical Center
City/State: Valhalla, NY
Category: Nursing/Nursing Management
Department: Clinical Care Management
Union Name: New York State Nurses Association (NYSNA)
Position: Full Time
Req #: 32075
Posted Date: Sep 23, 2022
Hiring Range: $58.80 to $68.18
Internal Posting 9/23/22 to 10/13/22 Salary Range – $58.80 – $68.18 Assistant Utilization Coordinator – Denials/ Appeals Department
Under general supervision, an incumbent of this class assists in the implementation or investigation of the procedures specified in the Quality Management, Utilization Review and Discharge Planning Program at Westchester Medical Center specifically related to insurance denials and subsequent appealsprocesses. Depending upon assignment, incumbents may implement the review/screening aspects of the Quality Improvement Plan; monitor the length of stay and resource consumption of patients; evaluate, develop procedures to improve patient care; assist in carrying out all aspects of the Quality Improvement Program to ensure that Westchester Medical Center continues to meet the medical standards for patient care prescribed by accrediting, licensing and reimbursement agencies. Supervision may be exercised over a few the support staff. Does related work as required. Licensure: Possession of a valid license and current registration, issued by the New York State Department of Education, as a registered professional nurse. Training and
and three years of experience where the primary function of the position was nursing in a hospital or health care agency,one of which must have been at a leadership level, and one year of which must have been in either a hospital, health care agency or managed care company in the area of utilization review, quality assurance, risk management or discharge planning.
Westchester Medical Center
Westchester Medical Center is the premier provider of advanced medical care in New York’s Hudson Valley. The flagship of the Westchester Medical Center Health Network, this 895-bed academic hospital in Valhalla, NY, provides local residents with acute-care services — Level I trauma and burn care, organ transplants and advanced neurovascular procedures and more — found nowhere else in the region. Westchester Medical Center is the primary referral facility for other Hudson Valley hospitals and serves as a lifeline for more than 3 million.