RN/Utilization Review Specialist

4 weeks ago


London, Kentucky, United States South Central Health System Full time
Job Summary:

We are seeking a highly skilled RN to join our team as a Utilization Review Specialist. In this role, you will be responsible for collecting and preparing data from medical record reviews for OPPE and FPPE, as well as creating reports for the Medical Staff Performance Committee (MSPC) review. You will also assist physician reviewers with performance improvement issues and provide support services to other areas as needed.

Key Responsibilities:

Collect and prepare data from medical record reviews for OPPE and FPPE
Create reports for MSPC review
Assist physician reviewers with performance improvement issues
Provide support services to other areas as needed
Collaborate with symplr to build and maintain a database that interfaces with Cerner to collect and manage data related to physician performance

Requirements:

RN with 2 years in a clinical setting
Excellent communication skills, organizational abilities, and computer skills
Ability to work independently and as part of a team
Strong analytical skills and attention to detail

What We Offer:

Competitive salary and benefits package
Opportunities for professional growth and development
Collaborative and dynamic work environment

If you are a motivated and detail-oriented RN looking for a challenging and rewarding role, please submit your application today.
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