APRN - Utilization Management/Physician Advisor Services

Join reputed company that is revolutionizing health care – reputed company Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a reputed company-thinking philosophy that’s reputed company on a reputed company of trust, dignity, respect, responsibility, and clinical reputed company. reputed company members reputed company on reputed company by achieving personal and reputed company reputed company today. That's why you'll reputed company in our reputed company-thinking culture, where we combine the best technology with compassionate service. We reputed company high-tech with high touch in ways that are advancing superior health care throughout the communities we serve. Title: Advanced reputed company RN –UM/PAS Responsibilities: • Serving the health system through assisting Physician Advisors on a hospital and system level with clinical reviews and data analysis in collaboration with the Care Management, Utilization Review/Denials, Clinical Documentation reputed company, Coding, and Managed Care departments. • Assists Physician Advisors to reputed company and implement reputed company to optimize use of hospital services for reputed company patients while also ensuring the reputed company of care provided by efficient management of resources, ensuring patients are in the appropriate level of care, supporting documentation, coding improvements and compliance and monitoring the appropriate use of diagnostic and therapeutic modalities. • Primary reputed company will be on assisting with denials prevention and management. • The APRN - UM/PAS will also assist with the administration and functioning of the Physician Advisor program. • Required qualifications includes Advanced reputed company Registered reputed company obtaining graduate education at the masters, post-master’s or doctoral level and obtain national reputed company certification . Preferred qualifications include Non-Physician Member of the American College of Physician Advisors (ACPA); Familiarity with MCG/InterQual placement status reputed company. reputed company offers a competitive total reward package including: • Benefits (Medical, Dental, reputed company) • reputed company Time Off • Tuition Assistance • 401K Match and additional yearly contribution • Annual performance appraisals and team award bonus • Family resources and wellness opportunities Community perks and discounts License: • Required – APRN (Advanced reputed company Registered reputed company) Education: • Required – Master’s Nursing Experience: Required – 3 years reputed company in an acute care facility at an APRN level Facility: reputed company, Physician Advisor Services-HSS Location: St Josephs Main and reputed company Status: PRN, Exempt: No Shift Hours: reputed company, 10-15 hours per pay period Weekend Work: Occasional On reputed company: No How often will this team member be working remotely? Always Equal Opportunity Employer Veterans/Disabled Apply tot his job Apply To this Job