Ascension Health Utilization Review Associate in Nashville, Tennessee

Job ID: 262624

Utilization Review Associate

Nashville, Tennessee

Regular/Day

Additional Job Information

Title: Analyst-Utilization Review

City, State: Nashville,TN

Location: St Thomas Midtown West Bldg

Department: Care Management

Additional Job Details: Full-Time,Day, 40 hours,Weekly,7AM-4PM Monday-Friday

Job Description

Job Summary:

Analyzes and evaluates concurrent admission information and assigned patient population for supporting admissions and discharge planning.

Responsibilities:

  • Assesses clinical documentation based on current recognized criteria.

  • Contacts third party payers to communicate clinical information/complete pre-certification and re-certification parameters.

  • Coordinates with team members to obtain information that supports sustaining admission or preparing discharge plans.

  • Collates/analyzes indicator data to support outcomes and reports to medical staff committee.

Qualifications

Education:

  • Diploma

  • Bachelor's degree in a related field, or combination of High School degree and related experience required Bachelor's degree in a related field preferred

Work Experience:

  • 2 Years Preferred Technical Experience.

How To Apply

How to Apply

We urge you to apply to any/all positions that you have interest in. If you fit the qualifications for the role, we will reach out to you. Please ensure you complete all required fields within the application (indicated with an asterik), as well as additional information that is requested of you. Information that you offer us will better assist us in understanding your qualifications and fit for the position(s) you've applied for.

Equal Employment Opportunity

Saint Thomas Health Services complies with all applicable federal and state laws prohibiting discrimination in hiring or employment practices on the basis of citizenship, race, color, religion, gender, age, national and ethnic origin, disability, or veteran status.

No question or item on this application for employment is intended to secure information to be used for such discrimination. Information obtained through this application will be used solely to determine qualifications and suitability for employment. This application will be valid for a period of 90 days from date of completion.

Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

E-Verify Statement

Saint Thomas Health participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.

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