Franciscan Health
10,000+ employees
Founded 1875
🏥 Healthcare
⚕️ Healthcare Insurance
🤝 Non-profit
Healthcare • Healthcare Insurance • Non-profit
Franciscan Health is a healthcare organization committed to providing high-quality medical care grounded in the Franciscan tradition. They offer a range of medical services, including clinical and allied health, home health and hospice, nursing, physicians and advanced practice providers, and non-clinical and administrative roles. With a focus on embracing the values of St. Francis to care for those in need, they provide a supportive and fulfilling work environment for their employees, emphasizing a mission of compassion and community engagement. Franciscan Health is dedicated to offering a variety of employment opportunities across different medical specialties and locations.
Utilization Review Coordinator
Job not on LinkedIn
🕒 4 days ago
📊 Check your resume score for this job
Improve your chances of getting an interview by checking your resume score before you apply.
Franciscan Health
10,000+ employees
Founded 1875
🏥 Healthcare
⚕️ Healthcare Insurance
🤝 Non-profit
Healthcare • Healthcare Insurance • Non-profit
Franciscan Health is a healthcare organization committed to providing high-quality medical care grounded in the Franciscan tradition. They offer a range of medical services, including clinical and allied health, home health and hospice, nursing, physicians and advanced practice providers, and non-clinical and administrative roles. With a focus on embracing the values of St. Francis to care for those in need, they provide a supportive and fulfilling work environment for their employees, emphasizing a mission of compassion and community engagement. Franciscan Health is dedicated to offering a variety of employment opportunities across different medical specialties and locations.
📋 Description
• Perform admission screening for patients in a bed for medical necessity • Review for appropriateness of setting and utilization • Communicate with various stakeholders to justify admission or continued stay • Notify staff of medical necessity criteria, denials, and appeals • Provide education to physician, patients, families, and staff • Act as a resource for case management department regarding utilization issues • Perform admission necessity screening using established criteria
🎯 Requirements
• Associate degree in nursing/patient care required • Bachelor's Degree in nursing/patient care preferred • Registered Nurse (RN - Indiana licensure) required • 3 years of nursing/patient care experience required • 2 years of Utilization or Case Management experience preferred
🏖️ Benefits
• Comprehensive benefit offerings
Apply NowSimilar Jobs
🕒 5 days ago
Miller-Remick LLC
51 - 200
BIM Specialist supporting planning, coordination, and visualization efforts on complex building projects at Miller-Remick. Collaborating with teams to develop and leverage BIM models for improved project outcomes.
🕒 5 days ago
Legal professional managing a diverse portfolio of litigation and legal workstreams at Lilly. Collaborating with teams across the organization to support legal matters with a focus on compliance and best practices.
🇺🇸 United States – Remote
💵 $58.5k - $150.7k / year
💰 $6.5M Post-IPO Debt - Eli Lilly on 2024-02
⏰ Full Time
🟠 Senior
🔴 Lead
🕒 5 days ago
Digital Delivery Lead overseeing digital transformation and delivery for remediation business at AECOM. Driving technology improvements and leading hands-on initiatives for better efficiency.
🕒 5 days ago
Digital Transformation Lead focusing on digital delivery in environmental remediation sector. Overseeing digital strategy, resources, and outcomes for AECOM's US West operations.
🕒 5 days ago
Medical Reimbursement Specialist working remotely to resolve Medicare claims through follow-up and research. Collaborating with insurance carriers and patients to ensure accurate billing and payment.
