Utilization Review Nurse – Weekends

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🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 25%

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Logo of University of Arkansas System

University of Arkansas System

10,000+ employees

Founded 1871

🏥 Healthcare

💼 Consulting

📚 Education

💰 $9.9M Grant on 2022-02

Healthcare • Consulting • Education

University of Arkansas System is a comprehensive public university system dedicated to advancing economic, educational, and cultural development in the state of Arkansas. The system incorporates a wide range of campuses and units, providing access to quality education, research, and community service. It offers premium benefits to its employees and hosts regular board meetings to discuss strategic planning and governance. The University of Arkansas System is committed to fostering growth through its strategic Transformation 2025 Plan and is led by a newly appointed president, retired United States Air Force Lieutenant General Jay B. Silveria. The system includes numerous universities, community colleges, and specialized institutions across Arkansas.

📋 Description

• Utilize pre-established, evidence-based screening criteria to validate the appropriateness of patient admissions • Provide initial, continued-stay, and discharge screenings • Monitor observation status continuously • Communicate relevant information to payer carriers regarding patient stays • Initiate referrals to internal and external interdisciplinary teams • Establish a working diagnosis for every patient at initial review • Communicate target length of stay and estimated discharge • Coordinate discharge planning with the interdisciplinary team • Document team, physician, and payer communications and care-coordination concerns • Communicate with physicians regarding level of care or admission status • Escalate appropriate cases to the Physician Advisor for secondary review • Escalate payer denial and appeal issues to the Physician Advisor, CMO, or attending • Perform other duties as assigned

🎯 Requirements

• Associate’s Degree in Nursing (ADN) • 5 years of clinical nursing experience • Valid AR Registered Nursing license • Certified Case Manager (CCM) or American Case Management (ACM) certification preferred • Proof of legal authority to work in the United States on the first day of employment • Annual TB Screening • Criminal Background Check • Substance Abuse Testing

🏖️ Benefits

• Medical, Dental and Vision plans available for qualifying staff and family • Holiday, Vacation and Sick Leave • Education discount for staff and dependents (undergraduate only) • Up to 10% matched contribution from UAMS • Basic Life Insurance up to $50,000 • Career Training and Educational Opportunities • Merchant Discounts • Concierge prescription delivery on the main campus when using UAMS pharmacy • Bonus Programs • Hotel Lodging • New Graduate RN Residency • Support for Clinical Ladder • National Certification • Shared Governance • Recognition Programs

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