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Trainee Rn Utilization Review Nurse Jobs in Tennessee

Covenant Health

RN UTILIZATION MGMT I

Knoxville, TN

Registered Nurse Utilization Management Full Time, 80 Hours Per Pay Period, Day Shift Covenant ... Prepares and reviews necessary documentation for insurance utilization management processes and ...

Covenant Health

RN UTILIZATION MGMT I

Knoxville, TN · On-site

Overview Registered Nurse Utilization Management Full Time, 80 Hours Per Pay Period, Day Shift ... Prepares and reviews necessary documentation for insurance utilization management processes and ...

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Trainee Rn Utilization Review Nurse information

What is the difference between Trainee Rn Utilization Review Nurse vs Registered Nurse in Utilization Review?

AspectTrainee Rn Utilization Review NurseRegistered Nurse in Utilization Review
CredentialsLicensed RN, in training or early in careerLicensed RN with experience in utilization review
Work EnvironmentSupervised training setting, often in healthcare or insurance companiesIndependent review, case analysis, and decision-making in healthcare or insurance
Job ResponsibilitiesAssisting with reviews, learning policies, supporting senior staffConducting utilization reviews, making coverage decisions, ensuring compliance

The main difference is that the Trainee Rn Utilization Review Nurse is in training and gaining experience, while the Registered Nurse in Utilization Review is a fully qualified professional responsible for independent review and decision-making. The trainee role focuses on learning, whereas the registered nurse role involves applying expertise to evaluate patient care and insurance coverage.

What are the most commonly searched types of Rn Utilization Review Nurse jobs in Tennessee?

The most popular types of Rn Utilization Review Nurse jobs in Tennessee are:

What cities in Tennessee are hiring for Trainee Rn Utilization Review Nurse jobs?

Cities in Tennessee with the most Trainee Rn Utilization Review Nurse job openings:

Trainee Rn Utilization Review Nurse jobs near you

RN-Utilization Review

Memphis, TN

Baptist Memorial Health Care Corporation
Hospitals • 10K+ employees

7.3

Company rating: 7.3 out of 10

Based on 114 frontline employees who took The Breakroom Quiz

304th of 893 rated healthcare providers

People enjoy working here

Good employer

Recommended by students

Learn more about Baptist Memorial Health Care Corporationexternal

Full-time

Re-posted 29 days ago

Job description

Description
Job Summary
Manages the care for a specific population; facilitates the safe transition of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal and other payer requirements. Provides early assessment of transitional needs identified during their hospitalization, illness, and/or life situation. Performs other duties as assigned.
Responsibilities
  • Utilization Review
  • Discharge planning
  • Readmission Reduction Participation
  • Payer Communication and denial reduction
  • Completes assigned goals.
Specifications
Experience
Minimum Required
  • RN with at least one (1) year of clinical experience
Preferred/Desired
  • RN with 3 years of clinical experience with Case Management experience in a hospital or payer setting
Education
Minimum Required
  • Diploma or Associate Degree in Nursing
Preferred/Desired
  • BSN or MSN
Training
Minimum Required
Preferred/Desired
  • Certified Case Manager
Special Skills
  • .
Minimum Required
  • Critical thinking skills, communication, organization, interpersonal and computer skills. Problem solving; and governmental regulations.
Preferred/Desired
  • Critical thinking skills, communication, organization, interpersonal and computer skills. Knowledge of payer requirements; problem solving; and governmental regulations.
Licensure
  • RN
Minimum Required
  • RN
Preferred/Desired
  • RN;CCM;ACM
Baptist Memorial logo

About Baptist Memorial

Sourced by ZipRecruiter

Baptist Memorial, based in Memphis, TN, US, is a leading health care organization renowned in the healthcare industry. The company's official website is baptistonline.org which provides a comprehensive view of their services and operations. Baptist Memorial operates a myriad of hospitals, health clinics, and medical facilities providing expert and compassionate care. Founded in 1912, it has a rich legacy of over a hundred years of dedication to its community, offering services which include acute care, diagnostic services, and a broad range of speciality health services fulfilling various patient needs.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Memphis, TN, US

View All Baptist Memorial Jobs

What Baptist Memorial Health Care employees say

Pay

Benefits

Hours and flexibility

Workplace

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