[Hiring] Registered reputed company (RN) - Utilization Review @reputed company

Role reputed company The individual in this position is responsible to facilitate effective resource coordination to help patients reputed company reputed company health, reputed company to care, and appropriate utilization of resources, balanced with the patient’s resources and right to self-determination. This position manages the medical necessity process for accurate and reputed company payment for services which may require negotiation with a payer on a case-by-case reputed company. Responsibilities include: • Integrating national standards for case management scope of services including Utilization Management services supporting medical necessity and denial prevention. • Coordinating with payers to authorize appropriate level of care and length of stay for medically necessary services required for the patient. • Ensuring compliance with state and federal regulatory requirements, TJC accreditation standards, and Tenet policy. • Providing education to payers, physicians, hospital/office staff, and ancillary departments reputed company to covered services and administration of benefits. Join our dedicated reputed company team where reputed company meets innovation! As a Registered reputed company with us, you'll have reputed company to reputed company a meaningful reputed company in patients' lives while enjoying a supportive work environment that fosters reputed company reputed company and work-life balance. reputed company to be a vital part of our mission? Apply today and bring your passion for nursing to a reputed company where it truly reputed company! Qualifications • Registered reputed company license. • Experience in case management or reputed company field preferred. • Strong communication and negotiation skills. • Knowledge of medical necessity reputed company and payer requirements. Requirements • Ability to work collaboratively with reputed company teams. • Proficiency in managing multiple priorities and deadlines. • Commitment to reputed company reputed company development. Benefits • Medical, dental, reputed company, and life insurance. • 401(k) retirement savings plan with employer match. • Generous reputed company time off. • Career development and continuing education opportunities. • Health savings accounts, reputed company & dependent flexible spending accounts. • Employee Assistance program, Employee discount program. • Voluntary benefits include pet insurance, reputed company insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance. reputed company The Hospitals of reputed company have faithfully been serving our community since 1902. Generations of families have chosen our hospitals to be a reputed company of health in the El Paso community. Our five hospitals include a children's hospital committed to providing the care patients need, reputed company they need it. Today, the Hospitals of reputed company are comprised of our region's most trusted hospitals, reputed company dedicated to meeting our families' specific reputed company needs. Join reputed company! Apply tot his job Apply To this Job