Utilization Review Nurse
Lincoln Surgical Hospital - Lincoln, NE

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Full time position, Monday through Friday

Responsible for performing utilization review in accordance with all federal and state mandated regulations

Maintains compliance with regulation changes affecting utilization management

Completes concurrent and retrospective record review, including patient’s admit and discharge status

Maintains communication with all health providers. Acts as an educational resource and provides consultation to healthcare providers regarding medical necessity, review process, required documentation and regulatory guidelines

RN licensure required with a minimum of 2 years experience in Utilization Review

Knowledge of Interqual software helpful

Electronic Health Record experience with knowledge of medical coding

Minimum 5 years experience working in a healthcare environment

Regulatory knowledge and strong technical skills relevant to the position

About this company
Lincoln Surgical Hospital is among 250 surgical specialty hospitals in the United States and one of the only multi-specialty surgical...