rn utilization mgmt i - Knoxville

Only for registered members Knoxville, United States

1 month ago

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Job summary

The RN Utilization Management I will perform utilization management functions to include medical necessity reviews to promote a utilization management program that operates 24 hours a day 7 days a week.

This position is responsible for reviewing precertification requests for medical necessity and collaborating with attending physicians to ensure timely follow-through for status placement. The RN will also maintain accurate records of all communications and interventions related to utilization management and exhibit effective verbal and written communication skills.

The ideal candidate will have three years of acute care nursing experience, with a minimum of two years in the area of assigned responsibility. CCM/CPHQ certification is preferred or equivalent expertise in area of Utilization Management as evidenced by performance.
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