GRANDVIEW MEDICAL CENTER
3690 GRANDVIEW PKWY
BIRMINGHAM, AL 35243, USA
Utilization management is the analysis of the necessity, appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but that an authorization for services is obtained from payer, if required, and that documentation supports the care with minimal risk of denials. To provide leadership and oversight of the UR team. Coordinates insurance specific duties including CURP protocol. LPN or RN degree is required. Three years of previous nursing experience is required.
Benefits
* 401(k)
* Paid time off
* Tuition Reimbursement
Grandview Medical Center, a 434-bed regional referral center and tertiary-care facility, is located in Birmingham, AL., and is accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). Grandview Medical Center offers programs and services in all medical and surgical areas, including Cardiology, Oncology, Neurology, Women's Health, Mental Health, Digestive Diseases, Orthopedics, Physical Medicine and Rehab, Sports Medicine and Emergency Care.
At Grandview Medical Center, we believe in the power of great people and a team approach to make a difference in the health and well-being of the people and communities we serve. Compassion, a commitment to excellence, a safe environment, and opportunities for personal growth define our culture. Whether you work with patients every day or support those who do, you can make an impact by being a part of our team.
Qualifications
Education: Associates or better in Nursing or related field.
Experience: Three years of previous nursing experience is required.
Skills
Behaviors
Team Player
Works well as a member of a group.
Dedicated
Devoted to a task or purpose with loyalty or integrity.
Motivations
Demonstrates a strong desire to achieve goals.
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