RN Utilization Specialist

5 days ago


Cleveland, Mississippi, United States Citizens Memorial Full time
About the Role

Citizens Memorial Hospital is seeking a skilled Registered Nurse to fill the role of Utilization Specialist. This position plays a critical role in ensuring that our hospital receives timely reimbursement for scheduled services.


Key Responsibilities
  • Contracting with payers to secure authorization for scheduled services
  • Working with the Specialty clinic team to ensure surgical schedules are filled and patients are scheduled timely with all authorizations in place
  • Ensuring payers are prepared to reimburse CMH for scheduled services in accordance with the payer-provider contract

Requirements
  • Associates degree or Bachelors degree or surgical coding certification
  • UR experience or 3 years of medical coding experience
  • LPN, LVN, RN licensure

What We Offer
  • Competitive salary
  • Student loan assistance
  • Annual merit increases
  • Full suite of insurance benefits available for employee and family
  • Early access to pay with on-demand PayActiv Program
  • Employee assistance program
  • Paid time off
  • Increased company matched retirement
  • Company paid long term disability plan
  • Employee discounts


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