Jobs for People with MS: National MS Society

Description

Location: UC Health Leprino Building AMC, US:CO: Aurora

Department: UCH Utilization Management

FTE: Full Time, 0.8, 64.00 hours per pay period (2 weeks)

Shift: Days

Pay: $38.91 - $60.31 / hour. Pay is dependent on applicant's relevant experience

Summary:

This is a 100% remote position.

Ensures that services are delivered and documented in a manner that balances quality of care with efficiency, cost-containment and compliance.

Responsibilities:

• Reviews admissions and service requests within assigned unit for prospective, concurrent, and retrospective medical necessity and/or compliance with reimbursement policy criteria. Provides case management and/or consultation for complex cases.

• Assists departmental staff with issues related to Milliman (or similar) guidelines, status determination, medical records/documentation, precertification, reimbursement and concurrent denials appeals.

• Collaborates closely with case managers to make sure status' and level of care is accurate. Communicates with payers as needed to ensure patient accounts are secured.

• Assesses and coordinates patient's discharge planning needs with members of the healthcare team.

• Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action.

Requirements:

• Education: Bachelor's degree in Nursing.

• Licensure/Certification: State licensure as a Registered Nurse (RN).

Minimum Experience: 3 years of relevant experience.

We improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives.

UC Health invests in its Workforce.

UC Health offers a Five Year Incentive Bonus to recognize employee's contributions to our success in quality, patient experience, organizational growth, financial goals, and tenure with UC Health. The bonus accumulates annually each October and is paid out in October following completion of five years' employment.

UC Health offers their employees a competitive and comprehensive total rewards package:

• Medical, dental and vision coverage including coverage for eligible dependents

• 403(b) with employer matching contributions

• Time away from work: paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), leaves of absence; start your employment at UC Health with PTO in your bank

• Employer-paid basic life and accidental death and dismemberment coverage with buy-up coverage options

• Employer paid short term disability and long-term disability with buy-up coverage options

• Wellness benefits

• Full suite of voluntary benefits such as flexible spending accounts for health care and dependent care, health savings accounts (available with HD/HSA medical plan only), identity theft protection, pet insurance, and employee discount programs

• Education benefits for employees, including the opportunity to be eligible for 100% of tuition, books and fees paid for by UC Health for specific educational degrees. Other programs may qualify for up to $5,250 pre-paid by UC Health or in the form of tuition reimbursement each calendar year

Loan Repayment:

• UC Health is a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program! UC Health provides employees with free assistance navigating the PSLF program to submit their federal student loans for forgiveness through Savi.

UC Health always welcomes talent. This position will be open for a minimum of three days and until a top applicant is identified.

UC Health recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an affirmative action/equal opportunity employer, UC Health is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, creed, color, religion, gender, national origin or ancestry, age, mental or physical disability, sexual orientation, gender identity, transgender status, genetic information or veteran status. UC Health does not discriminate against any "qualified applicant with a disability" as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization.

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