Utilization Review Nurse
University of Tennessee Medical Center•Knoxville, TN
43d
About The Position
Full time in-house position. Completes clinical reviews for all payers utilizing established criteria. Collaborate with physicians to obtain orders for status changes when appropriate. Maintains accurate worklist and documentation from multiple platforms. Appropriately describes MOON and Code 44 letters to patients at the bedside. Provides notification of admissions to payors via telephone, fax and electronic portals. Collaborates with other professional caregiver disciplines to assist in expediting patient flow through the system.
Requirements
- Current RN license in the state of TN
- BSN required
Nice To Haves
- UR experience preferred
Responsibilities
- Completes clinical reviews for all payers utilizing established criteria.
- Collaborate with physicians to obtain orders for status changes when appropriate.
- Maintains accurate worklist and documentation from multiple platforms.
- Appropriately describes MOON and Code 44 letters to patients at the bedside.
- Provides notification of admissions to payors via telephone, fax and electronic portals.
- Collaborates with other professional caregiver disciplines to assist in expediting patient flow through the system.
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What This Job Offers
Job Type
Full-time
Industry
Hospitals
Number of Employees
1,001-5,000 employees
