RN UR (REGISTERED NURSE UTILIZATION REVIEW)

South Central Regional Medical Center • Laurel, MS

77d

About The Position

This position is responsible for providing utilization review duties and relating effectively with interdepartmental and intradepartmental personnel, medical staff, patients, patients’ families, and outside agencies.

Requirements

• RN, LPN, RHIT/RHIA trained or eligible
• Non-credentialed person with previous Utilization Review experience and a basic understanding of ICD-10 coding and Interqual criteria

Responsibilities

• Thoroughly review assigned cases adhering to procedure for each specific review type within designated time frame
• Communicate clearly and effectively in all situations and respond to requests in a timely manner
• Plan and prioritize daily work to maximize productivity and efficiently manage time
• Establish and maintain effective working relationships with co-workers, supervisors, administration, and the general public
• Attend training and develop relevant knowledge skills
• Adhere to health and safety policy of the hospital
• Comply with HIPAA/confidentiality guidelines
• Operate a variety of standard office machines and adhere to procedures relating to the proper use and care of office equipment
• Distinguishing between pertinent and non-pertinent clinical information
• Determining when additional information may need to be requested by physician
• Prioritizing daily work to maximize productivity
• Deciding when follow up is necessary on incomplete authorizations
• Responsible for proper use and care of general office equipment including computer, telephone, copier, printer, fax machine, and shred receptacles

What This Job Offers

• Education Level: No Education Listed
• Number of Employees: 1,001-5,000 employees