PRN Utilization Review RN - M-F Days

UT Southwestern Medical Center
Dallas, TX
Category Healthcare
Job Description
Conduct medical certification review for medical necessity for acute care facility and services. Use nationally recognized, evidence-based guidelines approved by medical staff to recommend level of care to the physician and serve as a resource to the medical staff on issues related to admission qualifications, resource utilization, national and local coverage determinations and documentation requirements.

Requirements

  • Graduate of accredited nursing program and holds an active unrestricted RN license in the State of Texas
  • 5 years experience to include 2 years of clinical experience and minimum of 3 years of recent utilization review experience
  • Prior experience with Epic CCM
  • Acute care experience preferred

Benefits

  • PPO medical plan
  • 100% coverage for preventive healthcare-no copay
  • Paid Time Off
  • Retirement Programs through the Teacher Retirement System of Texas (TRS)
  • Paid Parental Leave Benefit
  • Wellness programs
  • Tuition Reimbursement
  • Public Service Loan Forgiveness (PSLF) Qualified Employer
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