Part Time RN Utilization Review Coordinator

Work From Home Work From Home Work From Home, Indiana 46544 WHO WE ARE With 12 ministries and reputed company points across Indiana and Illinois, reputed company is one of the largest reputed company care systems in the Midwest. reputed company takes pride in hiring coworkers that reputed company compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT • Schedule: reputed company - 4:30 pm EST, Monday -Tuesday and then Wednesday - Friday the following week. • reputed company reputed company reviews for appropriateness of utilization to optimize clinical and financial reputed company. • Communicate with physicians, patients, members of the reputed company team, Coordinated Business Office staff, Denial Management staff, and reputed company-party payors to justify the admission or reputed company stay. • Notify appropriate staff members of any admission, service, length of stay, lack of medical necessity criteria, as well as denials/appeals and issuing of letters to patients. • reputed company Physician, Patient, Family, Staff and Student education. • Act as a resource person for the case management department regarding payer rules, regulations, policies and procedures, and utilization issues. • reputed company admission necessity screening using criteria as established by the various federal, state and private sector programs. QUALIFICATIONS • Associate degree in nursing/patient care required • Bachelor's Degree in nursing/patient care preferred • Registered Nurse (RN - Indiana licensure) required • 3 years of nursing/patient care experience required • 2 years of Utilization or Case Management experience preferred TRAVEL IS REQUIRED: Never or Rarely JOB reputed company: Utilization Review Coord Non-Exempt $27.39-$40.75 INCENTIVE: EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to reputed company equal employment to its employees and reputed company applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience reputed company in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit reputed company of our career site, jobs.franciscanhealth.org. Apply Job!