Community Health Systems

PRN Utilization Review Clinical Specialist (Remote)


PayCompetitive
LocationFranklin/Tennessee
Employment typePart-Time

What's your preference?

Apply with job updates
  • Job Description

      Req#: PRNUT297530
      Employer Industry: Healthcare Services

      Why Consider this Job Opportunity:
      - Salary up to $80,000
      - Opportunity for career advancement and growth within the organization
      - Supportive and collaborative work environment
      - Chance to make a positive impact on patient care and hospital operations
      - Competitive benefits package offered
      - Work-life balance with flexible hours

      What to Expect (Job Responsibilities):
      - Perform initial clinical assessments and continued stay assessments using evidence-based criteria
      - Collaborate with physicians to obtain necessary documentation to support medical necessity
      - Document all actions and activities in the case management software system
      - Review concurrent denials and coordinate Peer to Peer discussions when needed
      - Communicate effectively with UR Coordinator and facility case managers to ensure collaboration in patient care

      What is Required (Qualifications):
      - Associates Degree in Nursing
      - At least 3 years of previous nursing experience
      - Licensed Practical Nurse or Licensed Registered Nurse
      - Data entry skills; Proficiency with Google Docs, Google Sheets, and email applications

      How to Stand Out (Preferred Qualifications):
      - 3+ years of Utilization review experience
      - ACM or CCM Certification

      #HealthcareServices #UtilizationReview #Nursing #CareerGrowth #CompetitivePay

      At Talentify, we prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
      Talentify is not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
  • About the company

      Community Health Systems is a Fortune 500 company based in Franklin, Tennessee.