Illinois Licensed Utilization Management RN
VirtualVocationsDes Moines, Iowa, United Statesjob_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for an RN - UM / Clinical Denial Management.
Key Responsibilities
Oversee and manage functional and financial outcomes during patient hospitalization
Perform concurrent reviews of patient charts to ensure proper resource utilization and compliance with medical necessity criteria
Document utilization reviews and communicate with healthcare professionals regarding status changes and resource utilization
Required Qualifications
Licensed Registered Professional Nurse (RN) in Illinois
High School Diploma / GED and Associate's Degree
Strong data management and computer skills, including proficiency in Word, Excel, Outlook, and EPIC Case Management software
Ability to effectively communicate with physicians, payers, and hospital staff
Expertise in acute level of care criteria and utilization management practices
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Rn Utilization Management • Des Moines, Iowa, United States
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