RN - Utilization Review Coordinator - Emergency Department - Part-Time Weekend Option

Freeman Health System; Freeman (WV); Remote; USD 60,000 - 75,000; Full time

Job summary

Freeman Health System is seeking a Utilization Review Coordinator to ensure patients are admitted correctly and to work closely with payers for authorization. This role includes regulatory compliance responsibilities and offers a supportive work environment with various benefits.

Benefits

Health, vision, dental insurance

Retirement with employer match

Wellness program with discounts

Milestone payments with longevity

Paid time off (PTO)

Disability pay

Learning Center for family members

Payroll deduction options

Qualifications

• Current Missouri Registered Nurse license or compact state license required.

Responsibilities

• Provide utilization review to ensure correct hospital admission status.
• Work with payers for authorization and appeal decisions.
• Ensure regulatory compliance for admission status.

Skills

Utilization Review

Regulatory Compliance

Education

Registered Nurse license

Job description

Our Mission

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

Schedule

Monday-Friday (40 hours per week) DURING TRAINING -- transitioning into Weekends ONLY, Remote (24 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 ensure 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 on Health Insurance or Cash Bonus with Participation
• Milestone payments with longevity of employment
• Paid time off (PTO)
• Disability pay
• Learning Center designated only for Freeman Family members
• Payroll deduction at different locations such as The Daily Grind, Freeman Gift Shop, Cafeteria, etc.