UTILIZATION REVIEW RN
Schneck Medical Center
Utilization Review RN
Salary / 8:00am - 5:00pm / with on-call, weekend, & holiday rotation required
Job Requirements
Education: Minimum: Graduate of accredited school of nursing (BSN Preferred) Preferred: Bachelors Degree in Nursing with case management certification
License/Certification: Licensed RN in State of Indiana. Certification plan in place within 24 months of hire
Experience: Minimum: 2-3 years of acute care clinical experience Preferred: 3-5 years of acute care clinical experience with strong knowledge of medical necessity criter and payer requirements
Job Duties
- Utilization Review and Medical Necessity
- Concurrent Review and Length of Stay Management
- Retrospective Review
- Payer Communication & Authorization
- Denials Management and Appeals
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Vacancy posted 1 day ago
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