OSF Healthcare Careers

Utilization Management and Review Specialist - PIO000299

Hours per week: 40
Status (Benefits): Full-Time
Work Schedule: M-F;8-430 rotating weekends and holidays
Location: 1420 W Pioneer Pkwy, Peoria, IL, United States

1420 W Pioneer Pkwy, Peoria, IL, United States

Job Description

Description

The Utilization Management and Review Specialist (UMR Specialist) evaluates patient care and activities against objective criteria in an effort to take a proactive approach in addressing appropriate admission status of each patient. In addition the UMR Specialist will identify utilization issues involving under or over utilization of services, resolves and/or refers utilization issues in accordance with established procedures. Reviews medical records to determine appropriateness and medical necessity of admission and hospital stay and use of ancillary services.

Qualifications

REQUIRED QUALIFICATIONS:

 

BSN

 

 

2 years of clinical experience in an acute care or managed care setting

 

 

Current state license as Registered Nurse

 

 

Working knowledge of clinical EMR system

 

 

 

PREFERRED QUALIFICATIONS:

 

Working knowledge of Microsoft Office applications

 

 

 

EOE/Minorities/Females/Vet/Disabled

Job seekers will be afforded equal opportunity regardless of their race, ethnicity, veteran status or disability status.

 

Experience the OSF culture and community by clicking here.

 

 

 

Job seekers will be afforded equal opportunity regardless of their race, ethnicity, veteran status or disability status.

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