What are the responsibilities and job description for the Utilization Management Reviewer/UKHC position at University of Kentucky?
Posting Details
Job Title
Utilization Management Reviewer/UKHC
Requisition Number
RE48656
Working Title
Utilization Management Reviewer
Department Name
H4027: REV Cycle MGT-PFE
Work Location
Lexington, KY
Grade Level
11
Salary Range
$54,080-95,056/year
Type of Position
Staff
Position Time Status
Full-Time
Required Education
ADN
Click here for more information about equivalencies:
https://hr.uky.edu/employment/working-uk/equivalencies
Required Related Experience
5 yrs
Required License/Registration/Certification
Registered Nurse (RN)
Physical Requirements
The physical conditions of this position include: occasionally lifting, pushing, and/or pulling objects up to 10lbs; regularly sitting at a computer workstation for extended periods of time with repetitive motions (such as typing); regularly working in confined spaces; and occasional exposure to radiation and combative people; occasional (<10% of the time) job-related travel.
Shift
Day shift, Monday through Friday. (Hybrid)
Job Summary
This position works as a member of the multidisciplinary team with social workers, case managers, 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.
IEBC (Internal Employee Being Considered)
This is a hybrid position.
IEBC (Internal Employee Being Considered)
This is a hybrid position.
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.
Does this position have supervisory responsibilities?
No
Preferred Education/Experience
ADN with 5 years’ direct patient care experience.
Deadline to Apply
01/05/2025
Our University Community
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.
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.
Salary : $54,080 - $95,056
