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Utilization Review Consultant

University of Kentucky Albert B. Chandler Hospital

This is a Full-time position in Lexington, KY posted June 12, 2021.

Posting Details Job Title Utilization Management Reviewer/UKHC Requisition Number RE27899 Working Title Utilization Review Nurse Department Name H4027: REV Cycle MGT-PFE Work Location Lexington, KY Grade Level 11 Salary Range $53,477-89,315/year Type of Position Staff Position Time Status Full-Time Required EducationADNClick here for more information about equivalencies: Required Related Experience5 yrsRequired License/Registration/CertificationLicensed NursePhysical RequirementsThe physical conditions of this position include: occasionally lifting, pushing, and/or pulling objects up to 10lbs; occasionally standing or walking with objects up to 10lbs; regularly sitting at a computer workstation for extended periods of time with repetitive motions (such as typing); regularly working in confined spaces; and occasional exposure to radiation and combative people; no job related travelShiftDay shift, Monday through Friday.Job SummaryThis position works as a member of the multidisciplinary team with social workers, patient care facilitators, financial counselors, and ancillary staff to actively manage and coordinate those functions associated with third party payer certification, appropriate utilization of health services, and some aspects of discharge planning.Skills / Knowledge / AbilitiesThe ideal candidate will possess strong interpersonal, leadership, organizational, and written/verbal communication skills. General knowledge of criteria for accessing appropriate utilization of resources in the hospital is necessary. Exceptional planning and organizational skill. Effective written and verbal communication skills. General knowledge of criteria utilized by third party payers for admission and continued stay authorizations is necessary. General knowledge of Medicare, Medicaid, and third party payer reimbursement issues is necessary.Does this position have supervisory responsibilities? No Preferred Education/ExperienceADN or above with 5 years of direct patient care experience.Deadline to Apply 05/19/2021 University Community of InclusionThe University of Kentucky is committed to a diverse and inclusive workforce by ensuring all our students, faculty, and staff work in an environment of openness and acceptance. We strive to foster a community where people of all backgrounds, identities, and perspectives can feel secure and welcome. We also value the well-being of each of our employees and are dedicated to creating a healthy place to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors the University of Kentucky is a Tobacco & Drug Free campus. As an Equal Opportunity Employer, we strongly encourage veterans, individuals with disabilities, women, and all minorities to consider our employment opportunities. Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen.