Utilization Review Specialist Registered Nurse / RN

Emory Healthcare

14 days ago

Georgia — RemoteFull TimeUtilization ReviewNot on LinkedIn

✓ No Call✓ No Weekends✓ No Nights

Job Description

About the Role

Join Emory Healthcare as a Utilization Review Specialist Registered Nurse / RN in United States.

Key Responsibilities

Coverage (HINNs) for Medicare beneficiaries as appropriate. 2. Ensures compliance with all state of Georgia and Federal regulatory

Requirements

task in a fast

Associate degree in nursing. Experience

Minimum of 5 years of recent acute hospital experience or a minimum of two years of previous utilization review experience. Licensure

Must have a valid, active unencumbered Registered Nurse license approved by the Georgia Licensing Board. Skills

Benefits & Compensation

Student loan repayment assistance.

Work Schedule

Full-Time position.

Remote position - work from anywhere.

Day shift only - no nights.

This position offers day shifts only, student loan benefits. Work with Emory Healthcare in United States.

Key Skills

Utilization ReviewRegistered NurseMedical Necessity ReviewsInterQual CriteriaClinical Nursing JudgementProvider Team DiscussionMedical Director of URInitial ReviewsAdmission ReviewsConcurrent ReviewsSeverity of Illness DocumentationIntensity of Service DocumentationAvoidable Delays IdentificationDenial WorkflowsMedicare Outpatient Observation NoticesMedicare Change of Status Notice

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