The reasons to work at MultiCare are as unique as the people who do. Join us for the professional challenges you seek. In the settings you prefer. With schedules that fit your life. Learn more at www.multicarejobs.org Position Summary: Minimum Requirements: Education/Licenses/Certifications:
The Utilization Review (UR) Specialist is responsible for concurrent utilization management activities to a defined patient population. The Utilization Review (UR) Specialist is a link between the patient, health care team, organization, and payors during the patients hospital stay. The UR Specialist facilitates optimal reimbursement through accurate certification and complete chart documentation. Completes admission and continued stay reviews based on UR criteria. This position participates in a collaborative team approach and works independently, as well as cooperatively and collaboratively with health care staff and management. Work situations require specialized knowledge, judgment and skill. This position requires organization and interpretation of information relating to a wide variety of policies, procedures and programs. Work situations are frequently non-routine requiring analysis and the use of discretion and good judgment in decision making. This position requires a services oriented, caring professional individual with flexibility to work across all boundaries. This position requires extensive internal and external contacts with all levels of staff and management.
Five years of clinical experience required; utilization management and/or insurance industry experience preferred
Graduate from an accredited Currently licensed as an RN (State of Washington)
MultiCare is an equal opportunity employer. Hiring decisions are made without regard to race, color, religion, national origin, sexual orientation, gender identity, disability or veteran status. EOE/AA/M/F/D/V
MultiCare is a smoke-free, drug-free workplace. All employment offers are contingent upon acceptable pre-employment drug tests which include testing for the use of marijuana and nicotine. As part of our commitment to a healthy workplace, we require employees to obtain an annual flu immunization.
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