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Utilization Management Reviewer/UKHC - Lexington, United States - University of Kentucky
Description
Job TitleUtilization Management Reviewer/UKHC
Requisition Number
RE45564
Working Title
Utilization Management Reviewer - H4027: REV Cycle MGT-PFE
Department Name
H4027:
REV Cycle MGT-PFE
Work Location
Lexington, KY
Grade Level
11
Salary Range
$54,080-95,056/year
Type of Position
Staff
Position Time Status
Full-Time
Required Education
ADN
Click here for more information about equivalencies:
Required Related Experience
5 yrs
Required License/Registration/Certification
Registered Nurse (RN)
Physical Requirements
The physical conditions of this position include: occasionally standing or walking with objects up to 10lbs; regularly sitting at a computer workstation for extended periods of time with repetitive motions (such as typing); regularly working in confined spaces; and occasional exposure to radiation and combative people.
This position is primarily day shift; Monday through Friday with some weekends and holidays.
Job Summary
This position works as a member of the multidisciplinary team with social workers, case managers, financial counselors, and ancillary staff to actively manage and coordinate those functions associated with third party payer certification, appropriate utilization of health services, and some aspects of discharge planning.
Skills / Knowledge / Abilities
The ideal candidate will possess strong interpersonal, leadership, organizational, and written/verbal communication skills. General knowledge of criteria for accessing appropriate utilization of resources in the hospital is necessary. Exceptional planning and organizational skill. Effective written and verbal communication skills. General knowledge of criteria utilized by third party payers for admission and continued stay authorizations is necessary. General knowledge of Medicare, Medicaid, and third party payer reimbursement issues is necessary.
Does this position have supervisory responsibilities?
No
Preferred Education/Experience
ADN with 5 years direct patient care experience
Deadline to Apply
06/02/2024
University Community of Inclusion
The University of Kentucky is committed to a diverse and inclusive workforce by ensuring all our students, faculty, and staff work in an environment of openness and acceptance.
We also value the well-being of each of our employees and are dedicated to creating a healthy place to work, learn and live.
In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors the University of Kentucky is a Tobacco & Drug Free campus.
As an Equal Opportunity Employer, we strongly encourage veterans, individuals with disabilities, women, and all minorities to consider our employment opportunities.
Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources.
