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JOB DETAILS

Utilization Review (UR) Spec

Job Number: 47681
Location:
Tacoma, WA
Job Category: Nurse Practitioner
Employment Type: Full-Time Regular
FTE: 1
Specialty: Other Professional RN/LPN
Department: Utilization Review
Shift: Day
Work Schedule: M-F Day, rotating every other weekend

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Position Summary:
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 patient’s 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.

Minimum Requirements:
Five years of clinical experience required; utilization management and/or insurance industry experience preferred

Education/Licenses/Certifications:
Graduate from an accredited Currently licensed as an RN (State of Washington)

Working schedule: 5 days a week; rotating every other weekend; Start time no earlier than 7AM and no later than 9AM

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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.

If you are a job applicant who requires reasonable accommodation in the job application process, please contact our Candidate Experience Team at candidateexperienceteam@multicare.org.