Utilization Review Registered Nurse

Monument Health Inc

Rapid City, SD, USA
Base: $75,712.00 - $94,640.00; bonus/equity: not s...
Not specified
Utilization review experience
Knowledge of federal and state regulations
Collaboration with healthcare teams
Monument Health Inc is seeking a Utilization Review Registered Nurse in Rapid City, SD, to oversee denial and appeal requests, ensuring compliance with medical necessity regulations. The ideal candidate will have at least 3 years of RN experience, including 1 year in utilization review, and will collaborate with multiple departments within the healthcare organization

Job Summary

  • The role involves reviewing and completing denial and appeal requests related to medical necessity.
  • Collaboration with various departments ensures accuracy in patient status and billing.
  • Monument Health offers competitive wages and a range of benefits for qualifying positions.

Matching Summary

Match Score: 85

Monument Health Inc is seeking a Utilization Review Registered Nurse in Rapid City, SD, to oversee denial and appeal requests, ensuring compliance with medical necessity regulations. The ideal candidate will have at least 3 years of RN experience, including 1 year in utilization review, and will collaborate with multiple departments within the healthcare organization.

Salary

Base: $75,712.00 - $94,640.00; Bonus/Equity: Not specified; Benefits: Competitive wages and benefits

Skills & Requirements

Must-have

  • Utilization review experience
  • Knowledge of federal and state regulations
  • Collaboration with healthcare teams

Nice-to-have

  • Supportive work culture
  • Opportunities for growth and advancement
  • Flexible scheduling options

Key Requirements

  • Registered Nurse (RN) certification
  • 3+ years of nursing experience
  • 1+ year of Utilization Review experience

Work Rights

Not specified

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