Demo

RN - Registered Nurse - Utilization Management Specialist - AM (071)

UAB Health System
Birmingham, AL Full Time
POSTED ON 1/28/2025
AVAILABLE BEFORE 3/28/2025

Compensation :
Pay Range: $60,835 - $98,855 / yearly
- Benefits available for eligible positions include: 100% tuition assistance, wellness initiatives, generous paid time off, paid parental leave, Public Service Loan Forgiveness Program eligible employer, plus more. In addition to our many benefits and perks , UAB Medicine provides a variety of resources to support employees both personally and professionally.

Shifts Available:
UAB Medicine supports work/life balance . The shift available for this unit is:
- Full-Time Days : five 8-hour shifts per week

Job Description:
To perform utilization management activities for all patients and manage the authorization of services throughout the patient's hospitalization. To communicate clinical detail and criteria to patient insurance carriers. To facilitate billing compliance and serve as a key hospital resource for knowledge of payer reimbursement guidelines. To facilitate control of healthcare resources through ongoing assessment, monitoring and evaluation of patient financial resource utilization.


Work with the Best at UAB Medicine :
UAB Medicine is Alabama's largest single-site employer and operates over 1,200 beds and over 200 clinics in Birmingham , Alabama. Our nurses are committed to delivering patient- and family-centric care, and our interdisciplinary care teams provide high-quality, compassionate service. When you become part of UAB Medicine, you join a nationally ranked academic medical center committed to education and advancing medical science through research.

- 5-time Magnet-designated organization
- U.S. News & World Report's Best Hospitals, #1 in Alabama
- America's No. 1 Best Large Employer, Forbes, 2021
- Level I Trauma Center
- NCI-Designated Comprehensive Cancer Center, Comprehensive Transplant Institute, Comprehensive Stroke Center

Our success in patient care, innovation, and education is a direct result of our supportive and inclusive culture , which promotes shared governance and empowers nurses at the bedside to be their absolute best. Whether you are looking to start your career, fast-track your development, or diversify your skills, UAB Medicine offers avenues for advancement that other employers cannot match .

Bachelor's degree in Nursing and five (5) years of related experience required. Work experience may NOT substitute for education requirement. Currently licensed or eligible to be licensed as a Registered Nurse (RN) by the Alabama Board of Nursing required. Certified in Basic Life Support (BLS) from the American Heart Association (AHA) is required or should be obtained within 30 days of employment. Depending on the unit/department, Advanced Cardiac Life Support (ACLS) certification and/or Pediatric Advanced Life Support (PALS) from the American Heart Association (AHA) may be required.

Salary : $60,835 - $98,855

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