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Salary Not Disclosed
Saudi Arabian
N/A
1 Vacancy
Job Title: RN Utilization Review (Full-time Permanent)
Shift: Day Shift
Location: Bethel, AK 99559
Salary Range: $101,000 to $130,000 Annually
Position Summary:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
The Utilization Review Nurse, reporting to the Revenue Cycle Director, provides the professional assessment and reporting of complex acute clinical datasets to various agencies internally and externally.
This individual works with numerous business and clinical units across the corporation to ensure the timely interpretation and processing of business rules.
The UR Nurse will report on workload and activity, challenges that prevent processing or approval of days, and provides decision support on opportunities for improvement in the entire Utilization Review process.
This individual must have excellent communication, time management, and networking skills in working with clinical providers and decision-makers makers.
Position Qualifications:
Bachelor s degree in nursing. Degree requirements may be year-for-year for year basis for a combination of experience and education.
5 years of nursing experience required d.
3 years Revenue Cycle experience preferred.
License must be and remain in good standing in the State of Alaska. Continuing education may be supported in the workplace, however it is the responsibility of the incumbent to take all necessary steps to maintain their licensure.
Must have a Certification Professional in Healthcare Management or the ability to acquire one within 2 years of employment.
Full Time