Utilization Review Nurse
3 weeks ago
POSITION SUMMARY
The Utilization Review Nurse is responsible for ensuring the medical necessity and appropriate level of care of all hospital admissions and extended hospital stays, including psychiatry; affirming compliance with CMS’ Conditions of Participation regarding Utilization Management with annual review of the UM Plan and assisting with the coordination of the Utilization Management Committee; Knowledge of CMS policy, guidance and criteria as well as those of various managed care insurance plans.
MINIMUM REQUIREMENTS
State of Vermont Registered Nurse (RN) license required. The University of Vermont Health Network is moving toward an all Bachelor of Science in Nursing (BSN) workforce.
PRIOR EXPERIENCE
3-5 years acute care hospital nurse and/or
3-5 years chart review, prior authorizations, managed care, familiarity of clinical documentation requirements
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UTILIZATION REVIEW NURSE
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, VT, United States Central Vermont Medical Center Full timeBuilding Name: HHH - In-State Hybrid/RemoteRegularDepartment: CVMC - Care ManagementFull TimeStandard Hours: 40Biweekly Scheduled Hours:Shift: DayPrimary Shift: 7:30 AM - 4:00 AMWeekend Needs: NoneRecruiter: Kate DaviesPOSITION SUMMARYThe Utilization Review Nurse is responsible for ensuring the medical necessity and appropriate level of care of all hospital...
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Utilization Review Nurse- Hybrid
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Utilization Review Nurse- Hybrid
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Berlin, VT, United States The University of Vermont Health Network Full timeThis position is hybrid, allowing for remote work at times and requiring an onsite presence at Central Vermont Medical Center in Berlin, VT.POSITION SUMMARYThe Utilization Review Nurse is responsible for ensuring the medical necessity and appropriate level of care of all hospital admissions and extended hospital stays, including psychiatry; affirming...
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Utilization Review Nurse- Hybrid
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Berlin, VT, United States The University of Vermont Health Network Full timeThis position is hybrid, allowing for remote work at times and requiring an onsite presence at Central Vermont Medical Center in Berlin, VT.POSITION SUMMARYThe Utilization Review Nurse is responsible for ensuring the medical necessity and appropriate level of care of all hospital admissions and extended hospital stays, including psychiatry; affirming...
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