Brown University Health is seeking a Utilization Care Manager to join their team in Taunton, MA. The role involves conducting surveillance over medical necessity of patient care records and ensuring appropriate patient care levels.

As a Utilization Care Manager, you will report to the Director of Care Management and collaborate with physicians to ensure high-quality, safe, and fiscally responsible patient care. Your responsibilities include applying InterQual™ level of care screening criteria, conducting concurrent reviews, and serving as a liaison with third-party payers. You will also provide education on Medicare guidelines and promote patient satisfaction by facilitating authorization for hospital services.