Remote Utilization Management Specialist

Santa Barbara Cottage Hospital; United States; Remote; USD 80,000 - 100,000; Full time

Benefits offered by this job

Health plan options

Dental/Vision plan

403(b) retirement plan

Paid Time off

Tuition reimbursement

Short/Long term disability

Backup childcare

Job summary

Vanderbilt University Medical Center is seeking a Utilization Management professional to ensure accurate certification and complete chart documentation for appropriate admission status. The role involves coordinating with the multidisciplinary team to promote proper levels of care and timely patient throughput.

The ideal candidate will have RN qualifications with UR experience, a strong understanding of InterQual criteria, and the ability to train others while maintaining high standards of

Qualifications

• Bachelor's degree in Nursing.
• 1 year of relevant work experience.

Responsibilities

• Facilitates optimal reimbursement through certification and denial processes.
• Facilitates throughput of patients admitted urgently or emergently through the ED.
• Collaborates with multidisciplinary team to ensure the patient is placed in the appropriate level of care.
• The responsibilities listed are a general overview and additional duties may be assigned.

Skills

Medical Terminology

Clinical Applications

Utilization Review

Interdisciplinary Education

Education

Bachelor's

Job description

Vanderbilt University Medical Center is seeking a Utilization Management professional to ensure accurate certification and complete chart documentation for appropriate admission status. The role involves coordinating with the multidisciplinary team to promote proper levels of care and timely patient throughput.

The ideal candidate will have RN qualifications with UR experience, a strong understanding of InterQual criteria, and the ability to train others while maintaining high standards of