UofL Health

RN Utilization Review, UofL Health

UofL Health(1 month ago)

Louisville, KYOnsiteFull TimeMedior$0 - $0Case Management
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About this role

The Utilization Review RN is a registered nurse role within UofL Health’s utilization management/case management team supporting a regional academic health system in Louisville, KY. The position is based onsite on first shift and works across hospitals and physician practice locations to support organizational goals, policies, and payer alignment. It is part of the broader clinical care coordination structure focused on patient-centered care.

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Required Skills

  • Utilization Review
  • Clinical Assessment
  • Case Management
  • Authorization Management
  • Payor Communication
  • Documentation
  • Patient Advocacy
  • Compliance
  • Billing Resolution
  • Interdisciplinary Coordination

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Qualifications

  • Bachelor of Science in Nursing
  • Kentucky Registered Nurse License
  • Compact RN License
  • Case Management Certification (ACM, ANCC-Nurse Case Manager, or CCM)
UofL Health

About UofL Health

uoflhealth.org

UofL Health is a not-for-profit 501(c)(3) fully integrated regional academic health system with nine hospitals, four medical centers, more than 250 physician practice locations, and more than 1,200 providers.

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