$65K - $96K/yr
As our Utilization Review Author (UR Author) - RN Required , you will be part of our Physician Advisory Team providing first-level initial admission and continued stay case reviews. The Utilization ...
$65K - $96K/yr
As our Utilization Review Author (UR Author) - RN Required , you will be part of our Physician Advisory Team providing first-level initial admission and continued stay case reviews. The Utilization ...
Chicago, IL · On-site
$80 - $100/hr
The Utilization Review Clinician does not author clinical findings, diagnoses, or assessments that the incumbent did not personally form, and does not alter the clinical record. Disclose only the #J ...
Chicago, IL · On-site
$80 - $100/hr
The Utilization Review Clinician does not author clinical findings, diagnoses, or assessments that the incumbent did not personally form, and does not alter the clinical record. Disclose only the #J ...
Chicago, IL · On-site
$80 - $100/hr
The Utilization Review Clinician does not author clinical findings, diagnoses, or assessments that the incumbent did not personally form, and does not alter the clinical record. * Disclose only the ...
Chicago, IL · On-site
$80 - $100/hr
The Utilization Review Clinician does not author clinical findings, diagnoses, or assessments that the incumbent did not personally form, and does not alter the clinical record. * Disclose only the ...
Chicago, IL · On-site
The Utilization Review Clinician does not author clinical findings, diagnoses, or assessments that the incumbent did not personally form, and does not alter the clinical record. * Disclose only the ...
Chicago, IL · On-site
The Utilization Review Clinician does not author clinical findings, diagnoses, or assessments that the incumbent did not personally form, and does not alter the clinical record. * Disclose only the ...
Chicago, IL · On-site
The Utilization Review Clinician does not author clinical findings, diagnoses, or assessments that the incumbent did not personally form, and does not alter the clinical record. * Disclose only the ...
Chicago, IL · On-site
The Utilization Review Clinician does not author clinical findings, diagnoses, or assessments that the incumbent did not personally form, and does not alter the clinical record. * Disclose only the ...
Columbus, OH · On-site
Therefore, this agent will not be traveling and will be reviewing information at the office. • Utilization Review in hospital setting. • Prior author experience. • Inpatient hospital experience ...
Columbus, OH · On-site
Therefore, this agent will not be traveling and will be reviewing information at the office. • Utilization Review in hospital setting. • Prior author experience. • Inpatient hospital experience ...
Columbus, OH · On-site
Qualifications Utilization Review in hospital setting . Prior author experience . Inpatient hospital experience . Nurses who are used to doing both production and review work . RN required . Millemen ...
Columbus, OH · On-site
Qualifications Utilization Review in hospital setting . Prior author experience . Inpatient hospital experience . Nurses who are used to doing both production and review work . RN required . Millemen ...
North Charleston, SC · Remote
$45 - $50/hr
This is authoring and judgment-based work -- not volume processing. You will draw on your real ... utilization review * Revenue Cycle Operations -- denials and appeals, A/R follow-up, payment ...
Quick apply
North Charleston, SC · Remote
$45 - $50/hr
This is authoring and judgment-based work -- not volume processing. You will draw on your real ... utilization review * Revenue Cycle Operations -- denials and appeals, A/R follow-up, payment ...
Alongside clinical work, you'll author expert reports and future cost projections, give deposition ... No prior authorizations, no insurance denials, no utilization review, no RVU targets. You determine ...
Quick apply
Alongside clinical work, you'll author expert reports and future cost projections, give deposition ... No prior authorizations, no insurance denials, no utilization review, no RVU targets. You determine ...
$65K - $96K/yr
As our Peer-to-Peer Nurse Author , you will help our clients by reviewing cases for which the ... Active RN license * 1+ year of hospital-based utilization management experience a plus * 3+ years ...
$65K - $96K/yr
As our Peer-to-Peer Nurse Author , you will help our clients by reviewing cases for which the ... Active RN license * 1+ year of hospital-based utilization management experience a plus * 3+ years ...
$65K - $96K/yr
As our Peer-to-Peer Nurse Author , you will help our clients by reviewing cases for which the ... Active RN license * 1+ year of hospital-based utilization management experience a plus * 3+ years ...
$65K - $96K/yr
As our Peer-to-Peer Nurse Author , you will help our clients by reviewing cases for which the ... Active RN license * 1+ year of hospital-based utilization management experience a plus * 3+ years ...
Alongside clinical work, you'll author expert reports and future cost projections, give deposition ... No prior authorizations, no insurance denials, no utilization review, no RVU targets. You determine ...
Alongside clinical work, you'll author expert reports and future cost projections, give deposition ... No prior authorizations, no insurance denials, no utilization review, no RVU targets. You determine ...
Alongside clinical work, you'll author expert reports and future cost projections, give deposition ... No prior authorizations, no insurance denials, no utilization review, no RVU targets. You determine ...
Alongside clinical work, you'll author expert reports and future cost projections, give deposition ... No prior authorizations, no insurance denials, no utilization review, no RVU targets. You determine ...
Las Vegas, NV · On-site
$250/hr
Alongside clinical work, you'll author expert reports and future cost projections, give deposition ... No prior authorizations, no insurance denials, no utilization review, no RVU targets. You determine ...
Las Vegas, NV · On-site
$250/hr
Alongside clinical work, you'll author expert reports and future cost projections, give deposition ... No prior authorizations, no insurance denials, no utilization review, no RVU targets. You determine ...
Las Vegas, NV · On-site
$250/hr
Alongside clinical work, you'll author expert reports and future cost projections, give deposition ... No prior authorizations, no insurance denials, no utilization review, no RVU targets. You determine ...
Las Vegas, NV · On-site
$250/hr
Alongside clinical work, you'll author expert reports and future cost projections, give deposition ... No prior authorizations, no insurance denials, no utilization review, no RVU targets. You determine ...
Las Vegas, NV · On-site
$400K - $450K/yr
Alongside clinical work, you'll author expert reports and future cost projections, give deposition ... No prior authorizations, no insurance denials, no utilization review, no RVU targets. You determine ...
Las Vegas, NV · On-site
$400K - $450K/yr
Alongside clinical work, you'll author expert reports and future cost projections, give deposition ... No prior authorizations, no insurance denials, no utilization review, no RVU targets. You determine ...
... utilization and data placement across the DynamoDB fleet. You will work backwards from customer ... or co-author papers for internal or external peer-reviewed venues when the work is novel and ...
... utilization and data placement across the DynamoDB fleet. You will work backwards from customer ... or co-author papers for internal or external peer-reviewed venues when the work is novel and ...
... utilization and data placement across the DynamoDB fleet. You will work backwards from customer ... or co-author papers for internal or external peer-reviewed venues when the work is novel and ...
... utilization and data placement across the DynamoDB fleet. You will work backwards from customer ... or co-author papers for internal or external peer-reviewed venues when the work is novel and ...
Las Vegas, NV · On-site
$250/hr
Alongside clinical work, you will author expert reports and future care projections, give ... No prior authorizations, no denials, no utilization review, no RVU targets. You determine what is ...
Las Vegas, NV · On-site
$250/hr
Alongside clinical work, you will author expert reports and future care projections, give ... No prior authorizations, no denials, no utilization review, no RVU targets. You determine what is ...
$100 - $125/hr
... studies, and resource utilization analysis to refine warehouse layout and remove throughput ... authoring and running IQ/OQ/PQ protocols and compiling validation packages for regulatory review.
New
$100 - $125/hr
... studies, and resource utilization analysis to refine warehouse layout and remove throughput ... authoring and running IQ/OQ/PQ protocols and compiling validation packages for regulatory review.
New
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
For Utilization Review Author jobs, the most frequently searched job titles are:
Remote
$65K - $96K/yr
Full-time
This job post has expired 2 days ago. Applications are no longer accepted.
6.8
Based on 189 frontline employees who took The Breakroom Quiz
138th of 154 rated financial services
R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems, and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.
As our Utilization Review Author (UR Author) - RN Required, you will be part of our Physician Advisory Team providing first-level initial admission and continued stay case reviews. The Utilization Review Author will determine the appropriate cases for review, utilizing client-specific guidelines. After identifying a case, the Utilization Review Author will ensure appropriate orders and clinical documentation are in place before applying the evidence-based criteria. The successful candidate will have hospital-based Utilization Review or Case Management experience.
**Flexible Schedule with some weekend requirements throughout the month*
Responsibilities:
Perform initial admission and continued stay reviews utilizing InterQual and MCG using evidenced-based criteria to identify and support the appropriate level of care
Abstract data from a variety of medical records to ensure accurate clinical data
Adhere to established quality, timeliness, and productivity outputs required in the completion of first-level nursing utilization review
Ensure effective communication internally and externally while delivering excellent customer service
Perform other duties as assigned by departmental leadership in support of departmental and organizational strategies and goals, which may include system testing, training, and other opportunities that promote growth
Complete and maintain annual compliance and annual HIPAA training
Participate in organizational educational offerings and required training as needed to support service delivery
Required Qualifications:
Must have a current Registered Nurse license in your state of residence
Bachelor's Degree
At least 2 years of recent hospital-based Utilization or Case Management Experience is preferred
At least 3 years of clinical nursing experience (practice)
Knowledge of current Medicare rules and regulations related to Utilization Review
Strong analytical, organizational and time management skills
Ability to work independently with limited supervision
Excellent written and verbal communication skills
Excellent clinical abstraction and attention to detail
Experience with InterQual and/or MCG is preferred
Must be willing to work a variable schedule that encompasses evenings, days, weekends, and holidays (Coverage Hours:7:00 AM-12:00 AM EST)
The healthcare system is always evolving - and it's up to us to use our shared expertise to find new solutions that can keep up. On our growing team you'll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.
Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team - including offering a competitive benefits package.
R1 RCM Inc. ("the Company") is dedicated to the fundamentals of equal employment opportunity. The Company's employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.
CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent
To learn more, visit: R1RCM.com
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R1 RCM, Inc., based in Salt Lake City, UT, US, is a leading provider of technology-enabled revenue cycle management services which transform and solve revenue cycle performance challenges across hospitals, health systems, and physician groups. R1’s proven, scalable operational model seamlessly complements a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows. Founded in 2003, the company was initially named Accretive Health. It became R1 RCM in 2017 following a significant commitment by Ascension, the largest non-profit health system in the U.S., to long-term partnerships.
Health care and social assistance
10,000+ Employees
Murray, UT, US
2003
