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Utilization Management Specialist - Utilization Management
Penn State Health - Milton S. Hershey Medical CenterLocation: US:PA: HersheyWork Type: Full TimeFTE: 0.90Shift: DayHours: 9:00a - 9:30p Saturday - Sunday, with 1, 12-hour weekday shiftSUMMARY OF POSITION:Responsible for the review of clinical documentation in the Electronic Medical Record (EMR), comparing it to the nationally accepted and evidence-based criteria to certify an admission to the facility, and for concurrent/continued stay review as appropriate. Also responsible for maintaining compliance with the CMS Conditions of Participation for Utilization Management.MINIMUM QUALIFICATIONS:Bachelor's Degree in Nursing or Master's Degree in Nursing required 3 y


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