UTILIZATION REVIEW RN

Schneck Medical Center

Job DetailsSALARY / 8:00am - 5:00pm / with on-call, weekend, & holiday rotation requiredELIGIBLE FOR $2,000 SIGN-ON BONUS!JOB REQUIREMENTS EDUCATION Minimum: Graduate of accredited school of nursing (BSN Preferred) Preferred: Bachelors Degree in Nursing with case management certificationLICENSE/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 requirementsJOB DUTIESUtilization Review and Medical NecessityConcurrent Review and Length of Stay ManagementRetrospective ReviewPayer Communication & AuthorizationDenials Management and AppealsEqual 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.

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Vacancy posted 5 days ago

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