Utilization Review Nurse - RN, LPN, or LCSW (Remote) Job at Morgan Stephens, Remote

ME9pNVUxMExOU29LdFhkZU02eTg3YStVWUE9PQ==
  • Morgan Stephens
  • Remote

Job Description

Job Summary:

As a Utilization Management Nurse/Social Worker, you'll play a crucial role in our multidisciplinary team, ensuring that patients progress seamlessly through their care journey according to appropriate admission statuses. Proficient in Utilization Review processes, you'll maintain effective procedures to meet regulatory and reimbursement requirements for various payers, both commercial and government.

100% Remote - However, Only candidates on CST are considered. 
Illinois preferred.

Key Responsibilities:

  • Conduct concurrent and continued stay Utilization Management reviews, ensuring accurate data tracking, evaluation, and reporting.
  • Lead or participate actively in process improvement initiatives, collaborating with various departments and multi-disciplinary teams.
  • Efficiently manage a diverse workload in a fast-paced, ever-evolving regulatory environment.
  • Foster positive collaboration with the Care team to facilitate timely patient progression during their stay.

Job Requirements:

  • Current Nurse license or Clinical License.
  • Associate's degree; Bachelor's degree preferred.
  • 3-5 years of acute hospital experience and 3 years of Utilization Management experience in large health organization.
  • Hospital case management experience is advantageous.
  • Proficiency in federal and state regulations (DOH, Medicaid/Medicare) and familiarity with third-party payers and managed care principles.

Salary Range: $80,000+
Benefits: Yes- Full benefit package available with employer contribution.

Join our dynamic team and be part of our commitment to efficient Utilization Management and patient-focused care.

​​​​​​Date of Original Job Posting: 9/30/24 

Job Tags

Similar Jobs

Highway Horticulture, LLC

Cannabis Trim Technician Job at Highway Horticulture, LLC

 ...Horticulture has built a state-of-the-art cultivation facility in Cassopolis lead by one of the best cultivators in the country! The Cannabis Trim Technician will help to take our dried and cured flower to a beautifully manicured bud that will end up on the top shelf of... 

Visa

Associate Data Scientist, Intern - Cybersecurity Job at Visa

 ...and experience Life at Visa. Job Description Visa Cybersecurity Visa's Cybersecurity team provides enterprise-wide, risk-...  ...practices, and solutions to protect Visas systems and data from internal and external threats. To protect Visas assets in this... 

Loyal Source

Fire Protection Engineer Job at Loyal Source

 ...Loyal Source Government Services is looking for a Fire Protection Engineer to join the team in Silverdale, WA. US Citizenship is required for this position Pay range: $112,000- $136,000 Based off of experience TASK/SERVICE The Contractor shall provide the... 

Heart and Sail Excursions

Virtual Booking Assistant -Work From Home Job at Heart and Sail Excursions

 ...reservations and dispatch invoices or receipts with precision This remote role allows you to operate from anywhere with an internet connection giving you the freedom to balance work with personal adventures while delivering unparalleled travel experiences and growing your... 

Jacobs

Environmental Planner Job at Jacobs

 ...Jacobs Engineering Group Inc. is seeking to add an Environmental Planner to the team. This position is classified as a full-time position,...  ...Experience with water development projects Experience with GIS for resource identification, mapping, and analysis Ability to...