General Summary/Overview
The UM Care Transition Specialist (UM CTS) acts as a resourceto the Care Continuum Team (CCT), medical staff, nursing staff, finance,Patient Access and other hospital departments to clarify regulatory rules andrequirements of all third-party payers. Supports the clinical work of InsuranceSupport (ISN), Care Coordinator RNs and the clinical denials' processes. UM CTS acts as a liaison between internalstaff and external payers. UM CTS maintainsand monitors the reporting of utilization management functions.
Principle Duties and Responsibilities
ResourceManagement
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