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University Of Rochester Medical Center1 day ago

RN, Utilization Management

$80,923–$105,208 year

On-site · Rochester, New York, United States

Type
Full Time
Level
Mid Level
Education
Associates Degree
Company size
Large
Industry
Healthcare Tech

Job Summary

RN Utilization Management role at University of Rochester with focus on reviewing clinical documentation for medical necessity and appropriate level of patient care, collaboration with departments and payers, utilization management activities, educational support, and adherence to regulatory guidelines.

Required Qualifications

  • Associate's degree in Nursing
  • 3 years of acute hospital experience
  • NYS Registered Nurse license upon hire (RN)
  • Bachelor's degree in Nursing (BSN) preferred
  • Knowledge of Interqual or similar utilization management criteria
  • Database experience including InterQual, Sharepoint, eRecord, ePARC, Cobius preferred
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$81k – $105k / yr

RN, Utilization Management · University Of Rochester Medical Center

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