About this opportunity
Southeast Georgia Health System Inc / SGHS lists this Acute Care Utilization & Compliance Leader opportunity in brunswick, Maryland. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Southeast Georgia Health System Inc / SGHS is seeking a leader to manage the Utilization Review program, ensuring accurate patient status and regulatory compliance. You will supervise UR staff and collaborate with physicians, PSOs, Case Management, Coding, CDI, and Revenue Cycle teams to optimize care levels and reimbursement.
Role requires directing reviews using InterQual/MCG criteria, monitoring payer requirements, reducing denials, and guiding policy development and staff education for
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Who can apply
Review the original listing for work authorization, qualifications and employer requirements.