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.

Schneck Medical Center

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Vacancy posted 2 days ago

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