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RN - Utilization Review Coordinator - Emergency Department

Freeman Health System

Joplin (MO)

On-site

USD 60,000 - 80,000

Part time

6 days ago
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Job summary

A leading healthcare provider seeks a part-time RN - Utilization Review Coordinator for the Emergency Department in Joplin, MO. The role involves ensuring correct patient admissions, working closely with payers for authorization, and maintaining regulatory compliance. Join a team dedicated to improving community health with a variety of benefits starting from day one.

Benefits

Health, vision, and dental insurance
Retirement with employer match
Wellness program with discounts or cash bonus
Paid time off (PTO) & Flex time off (FTO)
Milestone payments for longevity

Qualifications

  • Must have a current Missouri RN license or a compact state license.
  • Experience in utilization review is preferred.

Responsibilities

  • Provide utilization review to ensure correct patient admission status.
  • Work with payers to assure authorization for admissions.
  • Ensure compliance with regulatory standards.

Skills

Utilization review
Regulatory compliance

Education

Current Missouri Registered Nurse license

Job description

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Our Mission

To improve the health of the communities we serve through contemporary, innovative, quality healthcare solutions.

Our Mission

To improve the health of the communities we serve through contemporary, innovative, quality healthcare solutions.

Schedule: Part-Time 30 hours per week

What You'll Do

The Utilization Review Coordinator provides utilization review to assure patients are admitted to the hospital in the correct status according to applied criteria. They work closely with payers to assure correct authorization for admissions are given and if needed to appeal payer decisions. They also assure the system is meeting regulatory compliance with regards to admission status and continued stay.

Requirements

Current Missouri Registered Nurse license or current Registered Nurse license from a compact state. If a compact license is held, it must be in the nurse’s state of residence.

Freeman Perks and Programs

  • For eligible full time and part time employees Freeman offers a wide variety of career opportunities, a great work culture and generous benefits, most starting day one!
  • Health, vision, dental insurance
  • Retirement with employer match
  • Wellness program with discounts to Health Insurance or Cash Bonus with Participation
  • Milestone payments with longevity of employment
  • Paid time off (PTO) & Flex time off (FTO)
  • Extended Sick pay
  • Learning Center designated only for Freeman Family members
  • Payroll deduction at different locations such as The Daily Grind, Freeman Gift Shop, Cafeteria, etc.

Seniority level
  • Seniority level
    Entry level
Employment type
  • Employment type
    Part-time
Job function
  • Job function
    Health Care Provider
  • Industries
    Hospitals and Health Care

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