ProMedica
10,000+ employees
Founded 1986
🤝 Non-profit
👥 B2C
💰 $4.4M Grant on 2017-04
Non-profit • B2C
ProMedica is a nonprofit, integrated healthcare system that operates hospitals, physician practices, home health, hospice, and senior care services across multiple states in the U. S. It delivers acute and preventive care, coordinates population health and community health programs, and focuses on improving patient outcomes through integrated clinical services and partnerships. ProMedica also runs community outreach and wellness initiatives to support local health needs.
Utilization Review Nurse – Utilization Management
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🔥 21 minutes ago
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ProMedica
10,000+ employees
Founded 1986
🤝 Non-profit
👥 B2C
💰 $4.4M Grant on 2017-04
Non-profit • B2C
ProMedica is a nonprofit, integrated healthcare system that operates hospitals, physician practices, home health, hospice, and senior care services across multiple states in the U. S. It delivers acute and preventive care, coordinates population health and community health programs, and focuses on improving patient outcomes through integrated clinical services and partnerships. ProMedica also runs community outreach and wellness initiatives to support local health needs.
📋 Description
• maximize the quality and cost-efficiency of health care services at ProMedica • complete reviews for admissions and transfers • apply payer rules to obtain authorizations • work with physicians, nurses, and other members of the health care team • review cases and look for opportunities to improve hospital service utilization
🎯 Requirements
• Graduate of approved NLN accredited School of Nursing • Minimum of 3 years acute care nursing experience • Current RN licensed in the state of hire • Knowledge of insurance guidelines • experience with UR/UM in hospital acute care setting • Previous experience with case management • utilization review and InterQual criteria
🏖️ Benefits
• dental • vision • company paid life insurance • paid time off • a 401k retirement plan • an employee assistance program • other voluntary coverage options • employee discounts
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