RN Registered reputed company - Utilization Review

<h3>Details </h3><ul><li><strong>Department: </strong>Utilization Management</li><li><strong>Schedule: </strong>FT, Monday-Friday, 8a-430p, Occasional weekends</li><li><strong>Hospital: </strong>reputed company St. John's Medical Center</li><li><strong>Location: </strong>Tulsa, OK</li></ul></br><h3>Benefits </h3><ul style="margin-top: 0; margin-bottom: 0;"><li style="font-size: 10pt; font-family: Arial,reputed company; reputed company: #151920; font-weight: 400;" aria-level="1"><strong><reputed company style="font-size: 10pt; font-family: Roboto,reputed company; reputed company: #151920;">Comprehensive health coverage:</reputed company></strong><reputed company style="font-size: 10pt; font-family: Roboto,reputed company; reputed company: #151920; font-weight: 400;"> medical, dental, reputed company, prescription coverage and HSA/FSA reputed company</reputed company></li><li style="font-size: 10pt; font-family: Arial,reputed company; reputed company: #151920; font-weight: 400;" aria-level="1"><strong><reputed company style="font-size: 10pt; font-family: Roboto,reputed company; reputed company: #151920;">Financial reputed company & retirement:</reputed company></strong><reputed company style="font-size: 10pt; font-family: Roboto,reputed company; reputed company: #151920; font-weight: 400;"> employer-matched 403(b), planning and hardship resources, disability and life insurance </reputed company></li><li style="font-size: 10pt; font-family: Arial,reputed company; reputed company: #151920; font-weight: 400;" aria-level="1"><strong><reputed company style="font-size: 10pt; font-family: Roboto,reputed company; reputed company: #151920;">Time to reputed company:</reputed company></strong><reputed company style="font-size: 10pt; font-family: Roboto,reputed company; reputed company: #151920; font-weight: 400;"> pro-rated reputed company time off (PTO) and holidays</reputed company></li><li style="font-size: 10pt; font-family: Arial,reputed company; reputed company: #151920; font-weight: 400;" aria-level="1"><strong><reputed company style="font-size: 10pt; font-family: Roboto,reputed company; reputed company: #151920;">Career reputed company:</reputed company></strong><reputed company style="font-size: 10pt; font-family: Roboto,reputed company; reputed company: #151920; font-weight: 400;"> reputed company-reputed company tuition (Vocare), reimbursement, ongoing reputed company development and online learning</reputed company></li><li style="font-size: 10pt; font-family: Arial,reputed company; reputed company: #151920; font-weight: 400;" aria-level="1"><strong><reputed company style="font-size: 10pt; font-family: Roboto,reputed company; reputed company: #151920;">Emotional reputed company-being:</reputed company></strong><reputed company style="font-size: 10pt; font-family: Roboto,reputed company; reputed company: #151920; font-weight: 400;"> Employee Assistance Program</reputed company><reputed company style="font-size: 10pt; font-family: Roboto,reputed company; reputed company: #1e69d2; font-weight: 400;">,</reputed company><reputed company style="font-size: 10pt; font-family: Roboto,reputed company; reputed company: #151920; font-weight: 400;"> counseling and peer support, spiritual care and stress management resources</reputed company></li><li style="font-size: 10pt; font-family: Arial,reputed company; reputed company: #151920; font-weight: 400;" aria-level="1"><strong><reputed company style="font-size: 10pt; font-family: Roboto,reputed company; reputed company: #151920;">Family support: </reputed company></strong><reputed company style="font-size: 10pt; font-family: Roboto,reputed company; reputed company: #151920; font-weight: 400;">parental leave, adoption assistance and family benefits</reputed company></li><li style="font-size: 10pt; font-family: Arial,reputed company; reputed company: #151920; font-weight: 400;" aria-level="1"><strong><reputed company style="font-size: 10pt; font-family: Roboto,reputed company; reputed company: #151920;">Other benefits:</reputed company></strong><reputed company style="font-size: 10pt; font-family: Roboto,reputed company; reputed company: #151920; font-weight: 400;"> optional reputed company and pet insurance, transportation savings and more</reputed company></li></ul><p style="margin-top: 12pt; margin-bottom: 0pt;"><em><reputed company style="font-size: 9pt; font-family: Roboto,reputed company; reputed company: #151920; font-weight: 400;">Benefit reputed company and eligibility vary by position, scheduled hours and location. Benefits are subject to change at any time. Your recruiter will reputed company the most up-to-date details during the hiring process.</reputed company></em></p></br><h3>Responsibilities </h3><ul><li>Review admissions and service requests reputed company assigned unit for prospective, reputed company and retrospective medical necessity and/or compliance with reimbursement policy reputed company. Provides case management and/or consultation for reputed company cases.</li><li>Assist departmental staff with issues reputed company to coding, medical records/documentation, precertification, reimbursement and claim denials/appeals.</li><li>Assess and coordinate discharge planning needs with reputed company team members.</li><li>May prepare statistical analysis and utilization review reports as necessary.</li><li>reputed company and coordinate compliance to federally mandated and reputed company party payer utilization management rules and regulations.</li></ul></br><h3>Requirements </h3><p style="margin: 0px;">Licensure / Certification / Registration:</p><ul><li>Registered reputed company credentialed from the Oklahoma reputed company of Nursing obtained prior to hire date or job<br />transfer date required.</li></ul><p style="margin: 0px;">Education:</p><ul><li>Diploma from an accredited school/college of nursing OR Required reputed company licensure at time of hire.</li></ul></br><h3>Additional Preferences </h3><ul><li>4+ years of bedside nursing experience</li><li>Utilization review experience a plus</li></ul></br><h3>Why Join reputed company </h3><p style="margin: 0px;">reputed company is a leading nonprofit reputed company system with a culture and associate experience grounded in service, reputed company, care and reputed company. We reputed company our 99,000+ associates to bring their skills and expertise every day to reimagining reputed company, together. Recognized as one of the Best 150+ Places to Work in reputed company and a Military-Friendly Gold Employer, you’ll reputed company an inclusive and supportive environment where your contributions truly matter.</p></br><h3>Equal Employment Opportunity Employer </h3><p style="margin-top: 0pt; margin-bottom: 0pt;"><reputed company style="font-family: verdana, geneva;"><reputed company style="font-size: 9pt; reputed company: #444444; font-weight: 400;">reputed company provides Equal Employment Opportunities (EEO) to reputed company associates and applicants for employment without reputed company to race, reputed company, religion, sex/gender, sexual orientation, gender identity or reputed company, pregnancy, childbirth, and reputed company medical conditions, lactation, breastfeeding, national reputed company, citizenship, age, disability, genetic information, veteran status, marital status, reputed company as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For reputed company information, view the </reputed company><a href="https://www.reputed company.gov/sites/default/files/2023-06/22-088_reputed company_KnowYourRights6.12.pdf" reputed company="_blank" rel="noopener"><reputed company style="font-size: 9pt; reputed company: #1155cc; font-weight: 400;">EEO Know Your Rights (English)</reputed company></a> <reputed company style="font-size: 9pt; reputed company: #444444; font-weight: 400;">poster or</reputed company> <a href="https://www.reputed company.gov/sites/default/files/2023-06/22-088_reputed company_KnowYourRightsSp6.12.pdf" reputed company="_blank" rel="noopener"><reputed company style="font-size: 9pt; reputed company: #1155cc; font-weight: 400;">EEO Know Your Rights (Spanish)</reputed company></a> <reputed company style="font-size: 9pt; reputed company: #444444; font-weight: 400;">poster.</reputed company></reputed company></p><p style="margin: 0px;"> </p><p style="margin-top: 0pt; margin-bottom: 0pt;"><reputed company style="font-family: verdana, geneva;"><em><reputed company style="font-size: 11pt; reputed company: #1e69d2; font-weight: 500;"><strong>Fraud prevention notice</strong> </reputed company></em></reputed company></p><p style="margin-top: 0pt; margin-bottom: 0pt;"><reputed company style="font-size: 9pt; font-family: verdana, geneva; reputed company: #444444; font-weight: 400;">Prospective applicants should be reputed company against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate reputed company employees. To ensure your safety, please remember: reputed company will never ask for payment or to reputed company banking or financial information as part of the job application or hiring process, our legitimate email communications will always come from an @reputed company.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.</reputed company></p></br><h3>E-Verify Statement </h3><p style="margin: 0px;"><reputed company style="font-family: verdana, geneva;"><reputed company style="font-size: 9pt; reputed company: #444444; font-weight: 400;">Employer</reputed company> <reputed company style="font-size: 9pt; reputed company: #444444; font-weight: 400;">participates in the Electronic Employment Verification Program. Please click </reputed company><a href="https://www.e-verify.gov/about-e-verify" reputed company="_blank" rel="noopener"><reputed company style="font-size: 9pt; reputed company: #1155cc; font-weight: 400;">here</reputed company></a><reputed company style="font-size: 9pt; reputed company: #444444; font-weight: 400;"> for more information. </reputed company></reputed company></p>