RN Utilization Review

UofL Health(1 month ago)

Louisville, KYOnsiteFull TimeMedior$78,364 - $105,916 (estimated)Utilization Management

About this role

A Utilization Review RN at UofL Health is part of the utilization management function within a regional academic health system, supporting patient-centered and financially accountable care. The role focuses on ensuring appropriate levels of care and authorization processes across hospital and physician practice settings.

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Required Skills

Utilization Review
Case Management
Clinical Assessment
Medical Necessity
Insurance Review
Patient Advocacy
Documentation
Care Coordination
Compliance

Qualifications

Bachelor of Science in Nursing (BSN)
Kentucky Registered Nurse License
Compact Registered Nurse License
Case Management Certification (ACM, ANCC, or CCM)

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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