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

OVpGN3Y0ckkrcmQ3cmFKd0V0ZW9DbDRsakE9PQ==
  • 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,

Similar Jobs

Alexandria Old Town Dental

Dental Assistant Job at Alexandria Old Town Dental

 ...Established Old Town Alexandria Dental Practice is seeking a full time dental assistant with a minimum of 1 to 2 years experience. Job Description: Under general supervision from the Dentist, the Assistant supports dental auxiliary operations by assisting the Dentist... 

AAA Melzer Agency LLC

Insurance Agent Job at AAA Melzer Agency LLC

 ...grow the overall book of business through our multiple product offerings. Respond to customer inquiries and requests relating to insurance, membership and financial products. Qualifications: Were Looking For Candidates Who: Ideally, hold an active State... 

Baxter International Inc

Financial Analyst - Development Program Job at Baxter International Inc

 ...This is where you save and sustain lives At Baxter, we are deeply connected by our mission. No matter your role at Baxter, your work makes a positive impact on people around the world. Youll feel a sense of purpose throughout the organization, as we know our work... 

Guardian Angel Senior Services

HHA - Certified or Will Train Job at Guardian Angel Senior Services

 ...options based on the clientsavailable. Guardian Angel Senior Services of Leominster, MA is now hiring in-home Caregivers. **FREE HHA CERTIFICATION and TRAINING AVAILABLE** Salary:$17.00 - $20.00 Some Great Perks!~**CREATE YOUR OWN SCHEDULE ~ Sign on Bonus... 

CXC Talent Solutions

Apartment Maintenance HVAC Job at CXC Talent Solutions

 ...Hired Today! CXC Talent Solutions is actively hiring Assistant Maintenance Technicians in the Flower Mound - Lewisville area. If you're a...  ...resident service requests promptly Diagnose and repair HVAC issues (certification required) Handle basic plumbing, electrical...