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Live In Cigna Utilization Review Nurse Jobs in Iowa

Virginia Gay Hospital

Utilization Tech

Vinton, IA · On-site

Would prefer candidate to have previous education and experience as an MA/RN/LPN, Utilization Review Nurse and/or have experience in physician office preauthorization and utilization review.

Trinity Health

Utilization Review RN

Des Moines, IA · On-site

Works in collaboration with the attending physician and the Case Management staff utilizing ... Conducts admission review per the Utilization Management Plan to ensure that the hospitalization is ...

Trinity Health

Utilization Review RN

Des Moines, IA · On-site

Works in collaboration with the attending physician and the Case Management staff utilizing ... Conducts admission review per the Utilization Management Plan to ensure that the hospitalization is ...

Trinityhealth

Utilization Review RN

Des Moines, IA · On-site

Works in collaboration with the attending physician and the Case Management staff utilizing ... Conducts admission review per the Utilization Management Plan to ensure that the hospitalization is ...

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Utilization Tech

Virginia Gay Hospital

Vinton, IA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago

Job description

Utilization Tech/Nurse
M-F 1st shift, 32 biweekly hours
8-4:30
Clinical background preferred
About VGH
Virginia Gay Hospital, established in Vinton in 1923, is an independent, nonprofit critical access hospital supported by a strong local community. The organization includes a 25-bed hospital and four family medical clinics located throughout Benton County, Iowa, offering high-quality, local healthcare and opportunities for professional growth and meaningful patient relationships.
Position Summary
  • ESSENTIAL DUTIES AND RESPONSIBILITIES
•The Utilization Review Tech/Nurse is responsible for the utilization review for preadmission screenings of patients, monitoring of patient status/needs, and notification of third-party payors, precertification of outpatient procedures, medication preauthorization and auditing charts as requested. The UR Tech/Nurse is responsible for the InterQual review of charts to assist with determination of appropriate level and length of stay.
MINIMUM QUALIFICATIONS (from job description)
•Current Iowa nursing license, preferred. Graduated from a state approved nursing program if applicable. Maintains current BCLS if indicated. Would prefer candidate to have previous education and experience as an MA/RN/LPN, Utilization Review Nurse and/or have experience in physician office preauthorization and utilization review.
Compensation amp; Benefits
  • Competitive salary
  • Health, dental, vision, life insurance, supplemental insurance
  • Retirement plan with match
  • Paid time off
  • License and Continuing Education Reimbursement available.
Equal Opportunity Statement
Virginia Gay Hospital is an equal opportunity employer.

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