Lead RN Utilization Review - Inpatient UM

Great River Health System

Great River Health Systems in West Burlington, IA, is seeking a Utilization Review Specialist to review clinical documentation in the EMR and certify admissions, ensuring compliance with CMS Conditions of Participation for Utilization Management.

The role leads the Utilization Review Team, coordinates daily huddles, and handles inpatient denials follow-up. Requires RN license, 4–6 years clinical and 1–3 years UM experience; BA/BS Nursing preferred. 8:00am–4:30pm, every 6th weekend 8:00am–8:00pm.

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Vacancy posted 23 hours ago

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