Utilization Management Reviewer/UKHC | University of Kentucky Job at University of Kentucky, Lexington, KY

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  • University of Kentucky
  • Lexington, KY

Job Description

Department Name: H4027: REV Cycle MGT-PFE

Job Summary:

This position works as a member of the multidisciplinary team with social workers, patient care facilitators, 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.

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 preferred.

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.

About University of Kentucky

Adjacent to downtown Lexington, UK is nestled in the scenic heart of the beautiful Bluegrass Region of Kentucky. UK's campus covers more than 814 acres, with more than 30,700 students and 13,500 full-time employees, including nearly 2,400 full-time faculty and librarians.

Connections working at University of Kentucky

Job Tags

Full time,

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