Utilization Management Reviewer/UKHC - Military Veterans
at HERC- Upper MidWest
Department Name: H4027: REV Cycle MGT-PFE
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.
IEBC (Internal Employee Being Considered)
This is a hybrid position.
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.
Position Time Status: Full-Time
Required Education:
ADN
Required Related Experience:
5 yrs
Required License/Registration/Certification :
Registered Nurse (RN)
Preferred Education/Experience:
ADN with 5 years' direct patient care experience.
University Community of Inclusion:
We value the well-being of each of our employees and are dedicated to creating a healthy place for everyone 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. These screenings may include a national background check and/or drug screen.
Lexington, KY
The Higher Education Recruitment Consortium (HERC) is a national nonprofit network of higher education and affiliated employers, committed to institutional collaboration, creating diverse workplaces, and assisting dual career couples. Searching for a job in higher ed? Our job board hosts over 30,000 faculty and staff jobs at workplaces that value diversity, equity, and inclusion. Set up your job seeker account today at: http://www.hercjobs.org For our member institutions, we offer recruitment and retention resources, vibrant regional networks, and a new online community of practice, HERConnect. All of our resources can help you advance inclusive excellence at your institution.