RN-Utilization Review (S)

SSM Health(28 days ago)

RemoteFull TimeMedior$90,727 - $122,279 (estimated)Utilization Management

About this role

A Registered Nurse role focused on assessing the medical necessity and appropriateness of hospital admissions and surgical procedures. The position ensures payors receive required clinical information and that hospital services have necessary authorizations. The job is remote within SSM Health’s four-state footprint and supports system utilization management and authorization processes.

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Required Skills

Utilization Review
Medical Necessity
Clinical Documentation
Nursing
Peer Review
Epic
Authorization
Patient Assessment
Communication

Qualifications

Graduate Of Accredited School Of Nursing
Registered Professional Nurse (RN) - Illinois (IDFPR)
Registered Nurse (RN) - Missouri Division Of Professional Registration
Registered Nurse (RN) - Oklahoma Board Of Nursing (OBN)
Registered Nurse (RN) - Wisconsin Department Of Safety And Professional Services
Registered Nurse (RN) Issued By Compact State
Compact RN License

About SSM Health

ssmhealth.com

SSM Health is a Catholic, not-for-profit health system providing high-quality, compassionate, and personalized care to communities across Illinois, Missouri, Oklahoma, and Wisconsin.

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