Job Information
University of Kentucky Utilization Management Reviewer/UKHC in Lexington, Kentucky
University of Kentucky
Equal Employment Opportunity/M/F/disability/protected veteran status.
Posting Details
Posting Details
| Job Title | Utilization Management Reviewer/UKHC |
|---|---|
| Requisition Number | RE49314 |
| Working Title | Utilization Management Reviewer |
| Department Name | H4027: REV Cycle MGT-PFE |
| Work Location | Lexington, KY |
| Grade Level | 11 |
| Salary Range | $54,080-95,056/year |
| Type of Position | Staff |
| Position Time Status | Full-Time |
| Required Education | ADN |
| Click here for more information about equivalencies: | https://hr.uky.edu/employment/working-uk/equivalencies |
| Required Related Experience | 5 yrs |
| Required License/Registration/Certification | Registered Nurse (RN) |
| Physical Requirements | The physical conditions of this position include: occasionally lifting, pushing, and/or pulling objects up to 10lbs; occasionally standing or walking with objects up to 10lbs; regularly sitting at a computer workstation for extended periods of time with repetitive motions (such as typing); regularly working in confined spaces; and occasional exposure to radiation and combative people. |
| Shift | Monday - Friday 12pm-8pm |
| Job Summary | This position works as a member of the multidisciplinary team with social workers, patient care facilitators, financial counselors, and ancillary staff to actively manage and coordinate those functions associated with third party payer certification, appropriate utilization of health services, and some aspects of discharge planning. |
| Skills / Knowledge / Abilities | The ideal candidate will possess strong interpersonal, leadership, organizational, and written/verbal communication skills. General knowledge of criteria for accessing appropriate utilization of resources in the hospital is necessary. Exceptional planning and organizational skill. Effective written and verbal communication skills. General knowledge of criteria utilized by third party payers for admission and continued stay authorizations is necessary. General knowledge of Medicare, Medicaid, and third party payer reimbursement issues is necessary. |
| Does this position have supervisory responsibilities? | No |
| Preferred Education/Experience | ADN with 5 years direct patient care experience preferred. |
| Deadline to Apply | 02/27/2025 |
| Our University Community | We value the well-being of each of our employees and are dedicated to creating a healthy place for everyone to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors the University of Kentucky is a Tobacco & Drug Free campus. As an Equal Opportunity Employer, we strongly encourage veterans, individuals with disabilities, women, and all minorities to consider our employment opportunities. Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen. |
Posting Specific Questions
Required fields are indicated with an asterisk ().
- Do you have a current Kentucky Registered Nurses license or are you eligible to obtain one by date of hire?
- Yes
- No
- Please indicate your years of paid work experience in utilization management.
- None
- More than 0, through 1 year
- More than 1 year, through 3 years
- More than 3 years, through 5 years
- More than 5 years
- Do you have knowledge of Medicare guidelines?
- Yes
- No
- Do you have experience in working with the Medicare denial process?
- Yes
- No
- Where did you first see this position advertised other than on UK's online employment system?
- Journal of Public Health Dentistry
- InsideHigherEd.com
- HigherEdJobs.com
- Diverse Issues in Higher Education
- Academic Keys
- Latinosinhighered.com
- Indeed.com
- A Colleague, Friend and/or Family Member
- None of the Above
Applicant Documents
Required Documents
- Resume
Apply Here: https://www.click2apply.net/NLQMM5U715rO8UAmlFqqaG
PI263797769