RN - Utilization Review (091026.11) PART TIME

Bitterroot Health; Hamilton (MT); On-site; USD 28,000 - 36,000; Part time

Job summary

Bitterroot Health in Hamilton, Montana, is seeking a Utilization Review Coordinator RN to ensure appropriate patient care using hospital resources. The UR Coordinator coordinates UR activities for inpatients and observation patients, initiates payer contact, and supports discharge planning with case managers and social workers.

The UR Coordinator will issue ABN and code 44 forms when needed, attend MR/UR committee meetings, and provide ongoing education to clinical staff to improve patient

Qualifications

• UR experience preferred.
• RN Case Management or Coding experience preferred.
• RN Licensure MT or CCS/CPC/RHIT/RHIA required or preferred.

Responsibilities

• Initial contact with payers and ongoing coordination of patient clinical status.
• Organize and facilitate day-to-day UR activities for inpatients and observation patients.
• Serve as a resource to clinicians on patient placement and to Case Managers and Social Workers for discharge planning.
• Issue ABN and code 44 forms when necessary.
• Attend quarterly MR/UR Committee meetings and provide recommendations to educate staff.

Skills

UR experience

Case management

Advocacy

Education

RN Licensure MT

CCS/CPC/RHIT/RHIA

Job description

Utilization Review Coordinator RN opportunity in beautiful Hamilton, Montana!!

Bitterroot Health is seeking candidates to fill a Utilization Review Coordinator RN position. The UR Coordinator ensures the patients get the right treatment from the resources that are available in the hospital. The UR Coordinator is responsible for organizing and facilitating day to day UR activities for all inpatients and observation patients. The Duties include initial contact with payers and ongoing coordination to update the clinical situation of the patient. The UR Coordinator will serve as a resource to clinicians on placement of the patient in the proper medical service. The UR Coordinator will serve as a resource to the Case Managers and Social Workers to assist with the discharge plan of the patient. They will also be available as needed to serve as a patient advocate and answer questions the patients may have. The UR Coordinator will issue ABN and code 44 forms when necessary. The UR Coordinator will be expected to attend quarterly MR/UR Committee meetings and provide ongoing recommendations and feedback for appropriate patient status as well as look for opportunities to continually educate the clinical staff.

Minimum Qualifications:

Education:

• RN Case Management or Coding experience preferred.

Licensures, Certifications, Registrations:

• RN Licensure in the State of MT or
• CCS, CCS-P, CPC, or CPC-H, RHIT, or RHIA

Job Knowledge/Skills/Abilities:

• Prior experience in the medical field related to Case Management, coding and/or billing preferred

Experience

• UR experience preferred

Schedule:

Part-time, 16 hours/week