COVID-19 Vaccination Information

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UPMC continues to comply with governmental guidance related to local, state, and federal COVID-19 vaccination for employment. All employees and affiliated staff of UPMC entities are considered essential health care workers and will be accountable to follow the Centers for Medicare & Medicaid Services (CMS) federal vaccine mandate. To be compliant with the federal mandate, employees must complete the approved vaccination dosage regimen currently defined by the federal government. Compliance with the federal mandate is encouraged before hire. Medical and religious exemption requests may be submitted for consideration.

For more information about UPMC’s response to COVID-19, please visit UPMC.com/coronavirus.

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Case Mgmt/UR Specialist

  • Job ID: 676000317
  • Status: Job Share
  • Regular/Temporary: Regular
  • Hours: 7:30 a.m. to 3:30 p.m.
  • Shift: Day Job
  • Facility: UPMC Altoona
  • Department: Case Management
  • Location: 620 Howard Avenue, Altoona PA 16601
  • Union Position: Yes
  • Salary Range: $0 / hour

Description

Case Mgmt/UR Specialist

Job Share 20 hours 3 days per week 7:30 a.m. to 3:30 p.m.

AFSCME

Posted: Dec 2, 2021

 

Purpose:
Acts as secretary for the Medical Director of Case Management and the Case Management Workgroup; Assists the Case Managers and Care Coordinators and performs all duties required by the program.

Responsibilities:

 

  • Monitors inpatient and MA outpatient cases to assure timely authorization as well as monitoring the OR schedule to assist in the elective precertification process.
  • Maintaining and organizing data on cases requiring in-house authorization.
  • Maintains detailed filing system according to payor source.
  • Completes reports required by Quality Insights of PA and Medical Assistance including HNN reporting.
  • Functions in duties of Secretary to Director in secretary's absence.
  • Functions as secretary to case managers and care coordinators; prepares worksheets to facilitate UR review activities.
  • Monitors daily ADT reports working in conjunction with the Medical Record Department to preserve statistical accuracy.
  • Data entry, filing and extensive communication regarding audits.
  • Functions as secretary to the hospital Case Management Workgroup including scheduling meetings and recording minutes

 

Qualifications

Education and Formal Training Required: Post high school education required in medical secretarial school or acceptable related field; Associates Degree preferred

Experience Required: Typing 50 WPM preferred.

Licensure, Certifications, and Clearances:

UPMC is an Equal Opportunity Employer/Disability/Veteran

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   Current UPMC employees must apply in HR Direct