RN – Registered Nurse – Utilization Management Specialist – PT Days (903)

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Compensation:Pay Range: $29.25 – $47.55 / hourly- Benefits available for eligible positions include: 100% tuition assistance, wellness initiatives, generous paid time off, paid parental leave, Public Service Loan Forgiveness Program eligible employer, plus more. In addition to our many benefits and perks, ***** Medicine provides a variety of resources to support employees both personally and professionally.Shifts Available:***** Medicine supports work/life balance. The shift available for this unit is:- Part-Time DaysJob Description:To perform utilization management activities for all patients and manage the authorization of services throughout the patient’s hospitalization. To communicate clinical detail and criteria to patient insurance carriers. To facilitate billing compliance and serve as a key hospital resource for knowledge of payer reimbursement guidelines. To facilitate control of healthcare resources through ongoing assessment, monitoring and evaluation of patient financial resource utilization.
Work with the Best at ***** Medicine: ***** Medicine is *****’s largest single-site employer and operates over 1,200 beds and over 200 clinics in *****, *****. Our nurses are committed to delivering patient- and family-centric care, and our interdisciplinary care teams provide high-quality, compassionate service. When you become part of ***** Medicine, you join a nationally ranked academic medical center committed to education and advancing medical science through research.- 5-time Magnet-designated organization- U.S. News & World Report’s Best Hospitals, #1 in *****- America’s No. 1 Best Large Employer, Forbes, 2021- Level I Trauma Center- NCI-Designated Comprehensive Cancer Center, Comprehensive Transplant Institute, Comprehensive Stroke CenterOur success in patient care, innovation, and education is a direct result of our supportive and inclusive culture, which promotes shared governance and empowers nurses at the bedside to be their absolute best. Whether you are looking to start your career, fast-track your development, or diversify your skills, ***** Medicine offers avenues for advancement that other employers cannot match.

Roles Responsibility
Perform utilization management activities, Manage authorization of services, Communicate clinical detail to insurance carriers, Facilitate billing compliance, Serve as resource for reimbursement guidelines, Control healthcare resources through assessment and evaluation
Desired Qualification
Bachelor of Science in Nursing
Type
Part Time
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