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    Trinity Health Corporation

    Healthcare

    Registered Nurse - Utilization Review Coord - Psychiatric Medical Unit

    Grand Rapids, MI, United StatesFull-timePosted 1w ago
    All Trinity Health Corporation jobs

    Job description

    Employment Type:

    Full time

    Shift:

    Night Shift

    Description:

    Position Summary:

    Reviews assigned cases applying specific criteria and payor guidelines and communicates this review to payors ensuring proper reimbursement for care. In collaboration with members of the health care team, conducts observation, admission, concurrent, discharge and retrospective reviews to evaluate the appropriate level of care, continued stay, and status of discharge planning.

    What you will work:

    • Full time
    • 40 hours per week
    • 11:00 PM - 7:30 AM
    • Remote

    What you will do:

    • Perform all aspects of utilization review to ensure the medical necessity of acute care hospitalization has the existence of supportive documentation in the EMR
    • Provide all external review organizations the information necessary to complete reviews and effect maximum financial reimbursement
    • Collaborate with Case Management
    • Provides consultation and information to physicians, case managers and other members of the health care team

    What you will need:

    • Bachelor of Science in Nursing (BSN)
    • Current State of Michigan Registered Nurse License
    • Three years acute care as a RN
    • Preferred: Two years recent acute care utilization management experience, experience in facility audits/appears and processes
    • Ability to work autonomously with little direction and be accountable for outcomes

    What you will work:

    • Full time
    • 40 hours per week
    • Night shift

    Our Commitment

    Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

    Job details are sourced from the employer's original posting.

    Open job posting
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    About the company

    Trinity Health Corporation

    Trinity Health Corporation is a large, integrated healthcare system providing a wide range of medical services and care.

    View all Trinity Health Corporation jobs
    Industry
    Healthcare
    Open roles
    173

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