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Utilization Review RN

Schneck Career
  • Seymour, Indiana
    30+ days ago

    Job Description

    SALARY / 8:00am - 5:00pm / with on-call, weekend, & holiday rotation required

    ELIGIBLE 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 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
    1. Utilization Review and Medical Necessity
    2. Concurrent Review and Length of Stay Management
    3. Retrospective Review
    4. Payer Communication & Authorization
    5. Denials Management and Appeals

    Numbers & Facts

    LocationSeymour, Indiana
    Websitehttps://www.schneckmed.org/careers

    Skills

    • Acute Careunmatched
    • Certified Case Manager (CCM)unmatched
    • Clinical Medicineunmatched
    • Denials Managementunmatched
    • Nursing Credentialsunmatched
    • On Callunmatched
    • Registered Nurse (RN)unmatched
    • Utilization Managementunmatched

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