Full Job Description
The Utilization Review Nurse is responsible for the development, implementation, coordination, and follow-up of projects related to Mercy Care Management.
This includes the validation, assimilation, and integration of information derived from projects, focus studies, in network and out of network pre-certification, inpatient concurrent review and retrospective chart review. Performs related duties as assigned.
Licensure: Registered Nurse, licensed in the State of Missouri.
Preferred Education: BSN preferred.
Experience: Minimum of five years clinical experience.
Other: Skills, Knowledge, and Abilities: Good communication and organizational skills, computer skills beneficial.
Working Conditions, Mental and Physical Requirements:
Knowledge of medical terminology, excellent oral and written communication skills, intermediate computer skills, capable of quickly learning other computer applications as needed, flexible, attentive to detail, and able to perform multiple tasks, good investigative, fact finding, and problem solving skills. Equipment Used: Computer, fax machine, copier, and other office equipment as needed.
We Offer Great Benefits:
Day-one comprehensive health, vision and dental coverage, PTO, tuition reimbursement and employer-matched retirement funds are just a few of the great benefits offered to eligible co-workers, including those working 48 hours or more per pay period!
Find us at:
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Nursing, RN, Registered Nurse, Clinic Nurse, Clinical Nurse, Specialty Nurse, Specialty RN, Practical Nurse, Healthcare, Vitals, Patient Care, Back Office
Mercy has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.