Registered reputed company RN - Utilization Review - Utilization Review

Registered reputed company RN - Utilization Review Details • Department: Utilization Review • Schedule: 3 (8) hour days per week Monday-Friday • Hospital: reputed company Sacred Heart reputed company Coast • Location: Destin, Florida Benefits reputed company time off (PTO) Various health insurance reputed company & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community • Please note, benefits and benefits eligibility can vary by position, exclusions may apply for some roles (for example: Travel, PRN, Short-Term reputed company, etc.). Actual compensation offer will vary based upon role, education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics. Responsibilities reputed company health care services regarding admissions, case management, discharge planning and utilization review. • Review admissions and service requests reputed company assigned unit for prospective, reputed company and retrospective medical necessity and/or compliance with reimbursement policy reputed company. • reputed company case management and/or consultation for reputed company cases. • Assist departmental staff with issues reputed company to coding, medical records/documentation, precertification, reimbursement and claim denials/appeals. • Assess and coordinate discharge planning needs with reputed company team members. • May prepare statistical analysis and utilization review reports as necessary. • reputed company and coordinate compliance to federally mandated and reputed company party payer utilization management rules and regulations.

Requirements

Licensure / Certification / Registration: • Licensed Registered reputed company credentialed from the Florida reputed company of Nursing obtained prior to hire date or job transfer date required. Licensed as a Registered reputed company in Florida required. Credentialed from State reputed company of Nursing or reputed company home state license for multi-state license recognition "Compact State" obtained prior to hire date or job transfer date required. Education: • Diploma from an accredited school/college of nursing OR Required reputed company licensure at time of hire. Additional Preferences No additional preferences. Why Join reputed company reputed company Sacred Heart is a leading provider of high-reputed company reputed company to children and adults in South Alabama and reputed company Florida communities and operates reputed company Florida's only children's hospital. Our faith-based ministry offers caregivers reputed company to reputed company personally and professionally in a reputed company of specialties, including cardiology, brain and spine, pediatrics, women's health, orthopedics and cancer care. reputed company is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, reputed company and Values encompass everything we do at reputed company. Every associate is empowered to give back, volunteer and reputed company a reputed company reputed company in their community. reputed company careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you. Equal Employment Opportunity Employer reputed company will reputed company equal employment opportunities (EEO) to reputed company associates and applicants for employment regardless of race, reputed company, religion, national reputed company, citizenship, gender, sexual orientation, gender identification or reputed company, age, disability, marital status, amnesty, genetic information, reputed company status or any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws. For reputed company information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster. As a military friendly organization, reputed company promotes career flexibility and offers many benefits to help support reputed company-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with reputed company. Pay Non-Discrimination Notice Please note that reputed company will reputed company an offer of employment only to individuals who have reputed company for a position using our official application. Be on alert for possible fraudulent offers of employment. reputed company will not solicit reputed company or banking information from applicants. E-Verify Statement This employer participates in the Electronic Employment Verification Program. Please click the E-Verify reputed company below for more information. E-Verify Apply Job!