What are the responsibilities and job description for the Utilization Management Reviewer/UKHC position at University Of Kentucky?
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; occasionally standing or walking with 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. Shift Monday – Friday 12pm-8pm Job Summary This position works as a member of the multidisciplinary team with social workers, patient care facilitators, 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. 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 preferred. Deadline to Apply 02 / 27 / 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.
Salary : $54,080 - $95,056
