Commercial Review Specialist I
SUNY Upstate Medical University
Syracuse, New York
- Eligibility
- Utilization ManagementUtilization ReviewQuality Assurance
Posted Jul 31 · 5 years of experience
- Unit and setting
- Hospital
- License
- RN license
- Term
- Permanent
Do you qualify?
- Also asks
- New York
The role and schedule
- Union
- Union position
- Weekends
- Weekends required
The workplace
Your fit
Questions to ask
- Can you walk me through base pay range and differentials?
- What should I expect for shifts, weekly hours, holiday, call, and rotation?
- What orientation, preceptor time, and ongoing unit support are included?
- How are patient load, floating, and staffing support handled day to day?
Original listing
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The UR-CR Specialist I is primarily responsible for ensuring that patient care services are appropriately recorded and utilized in accordance with hospital standards of quality, the policies of regulatory agencies, and the negotiated contracts with reimbursement entities. This is achieved through a thorough chart review and utilization of first-level screening criteria to ensure patients are at the appropriate level of care during the continuum of their hospital stay. The UR-CR 1 will collaborate with the medical team and the UR medical directors to establish the appropriate level of care.
The UR CR 1 will act as a liaison for discharge appeals and social admissions, preparing regulatory notices for delivery to the patient.
What's around it?
Syracuse, NYFrom Census ACS 2024.
Living costs about 4% below the US average
- Median rent
- $1,039/mo
- Household income
- $47,819/yr, all local households, not nurse pay