The Impact You Can Make

Team Impact

Reports to the Director of Case Management as well as other members of the Case Management Leadership team and the Utilization Management team. This dual position is responsible for ensuring productive and efficient day to day operations by providing extensive administrative support to the Case Management Department. The Utilization Specialist will ensure the coordination of activities with the Utilization Management Department. Primary responsibility is for support of payor materials, fiscal monitoring, and analysis of trends that require actions.

The Administrative Assistant/UM Specialist must be able to handle a high-volume workflow and should be able to answer various questions from co-workers and patients regarding the operation of the department.

The Glens Falls Hospital Impact

Mission

Our Mission is to improve the health of people in our region by providing access to exceptional, affordable, and patient-centered care every day and in every setting.

How You Will Fulfill Your Potential

Responsibilities

Receive and screen visitors and telephone calls; provide information and resolve routine issues exhibiting good judgement and sound understanding of policy and procedures.Oversee daily coordination of Utilization Management Office activities. Communicate information to the appropriate staff/department/payor within the established guidelinesOrganize meetings by notifying participants, making room arrangements, preparing agendas, and required informational material. Attend meetings and prepares minutes.Coordinate, track and follow up on all correspondence regarding DRG rebuttals, cost outliers, quality issues and appeals, utilization management concerns, HINNS and audit requests

The Impact You Can Make

Team Impact

Reports to the Director of Case Management as well as other members of the Case Management Leadership team and the Utilization Management team. This dual position is responsible for ensuring productive and efficient day to day operations by providing extensive administrative support to the Case Management Department. The Utilization Specialist will ensure the coordination of activities with the Utilization Management Department. Primary responsibility is for support of payor materials, fiscal monitoring, and analysis of trends that require actions.

The Administrative Assistant/UM Specialist must be able to handle a high-volume workflow and should be able to answer various questions from co-workers and patients regarding the operation of the department.

The Glens Falls Hospital Impact

Mission

Our Mission is to improve the health of people in our region by providing access to exceptional, affordable, and patient-centered care every day and in every setting.

How You Will Fulfill Your Potential

Responsibilities

Receive and screen visitors and telephone calls; provide information and resolve routine issues exhibiting good judgement and sound understanding of policy and procedures.Oversee daily coordination of Utilization Management Office activities. Communicate information to the appropriate staff/department/payor within the established guidelinesOrganize meetings by notifying participants, making room arrangements, preparing agendas, and required informational material. Attend meetings and prepares minutes.Coordinate, track and follow up on all correspondence regarding DRG rebuttals, cost outliers, quality issues and appeals, utilization management concerns, HINNS and audit requests