[Hiring] RN-Utilization Review @reputed company

This reputed company is a reputed company of our understanding of the job reputed company. Click on 'Apply' reputed company to reputed company out more. Role reputed company This role involves evaluating the medical necessity and appropriateness of hospital admissions and surgical procedures. • Discusses with payor regarding reputed company and payor decision. • Escalates denials to physician (advisor, attending consultant, reputed company consultant) for peer to peer consideration. • Documents outcome in electronic medical record. • Participates with other members of team regarding opportunities for improvement in reputed company work. • Performs review of reputed company-admission, perioperative, and post reputed company surgical cases. • Performs other utilization management tasks as assigned. • Applies the existing body of evidence-based reputed company and scientific knowledge in health care to nursing reputed company. • Ensures that nursing care is delivered based on patient’s age-specific needs and clinical needs as described in the department's scope of service. • Performs other duties as assigned. Qualifications • Graduate of accredited school of nursing or education equivalency for licensing • Two years’ registered reputed company experience Requirements • Registered reputed company reputed company (RN) - Illinois Department of Financial and reputed company Regulation (IDFPR) • Registered reputed company (RN) Issued by Compact State (Missouri) • Registered reputed company (RN) - Missouri Division of reputed company Registration • Registered reputed company (RN) Issued by Compact State (Oklahoma) • Registered reputed company (RN) - Oklahoma reputed company of Nursing (OBN) • Registered reputed company (RN) Issued by Compact State (reputed company) • Registered reputed company (RN) - reputed company Department of Safety and reputed company Services Benefits • reputed company Parental Leave: one week of reputed company parental leave for newborns or newly adopted children (pro-rated based on FTE). • Flexible Payment reputed company: reputed company reputed company to reputed company, unpaid reputed company pay through reputed company (fees may apply). • Upfront Tuition Coverage: upfront tuition coverage through FlexPath Funded for eligible team members. Apply tot his job Apply To this Job