Student Veterans of America Jobs

University of KentuckyEqual Employment Opportunity/M/F/disability/protected veteran status.Posting DetailsPosting Details Job Title Utilization Management Reviewer/UKHC Requisition Number RE39126 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 EducationADN Click here for more information about equivalencies: http://www.uky.edu/hr/employment/working-uk/equivalencies Required Related Experience5 yrsRequired License/Registration/CertificationLicensed NursePhysical RequirementsThe physical conditions of this position include: occasionally lifting, pushing, and/or pulling 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; occasional ( ShiftDay shift; Monday through Friday.Job SummaryThis 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.This position has been identified as supporting UK HealthCare, which receives funding from the Centers for Medicare and Medicaid Services ( CMS ). Therefore, all individuals hired into this position must comply with the federal CMS mandate issued in March of 2022. This mandate requires all new hires to provide proof of COVID -19 vaccination or obtain an approved medical or religious exemption as a condition of employment. Start of employment cannot occur until two weeks after receiving the full COVID -19 vaccination series or upon obtaining an approved exemption. Only vaccines approved by the World Health Organization can be accepted.Skills / Knowledge / AbilitiesThe 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/ExperienceADN with 5 years direct patient care experience.Deadline to Apply 03/23/2023 University Community of InclusionThe University of Kentucky is committed to a diverse and inclusive workforce by ensuring all our students, faculty, and staff work in an environment of openness and acceptance. We strive to foster a community where people of all - identities, and perspectives can feel secure and welcome. We also value the well-being of each of our employees and are dedicated to creating a healthy place 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 check and/or drug screen.Posting Specific QuestionsRequired fields are indicated with an asterisk (*). 1. * Do you have a current Kentucky Registered Nurses license or are you eligible to obtain one by date of hire? * Yes * No 2. * 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 3. * Do you have knowledge of Medicare guidelines? * Yes * No 4. * Do you have experience in working with the Medicare denial process? * Yes * No 5. * The University of Kentucky considers the health, safety and well-being of our entire community to be a top priority. In alignment with this priority, all new hires must provide proof of COVID-19 vaccination or obtain an approved medical or religious exemption as a condition of employment. For areas that fall under the federal CMS mandate, start of employment cannot occur until two weeks after receiving the full COVID-19 vaccination series or upon obtaining an approved exemption. Only vaccines approved by the World Health Organization can be accepted. I understand that I will be obligated to comply with the COVID-19 vaccination or exemption requirement prior to starting employment at the University of Kentucky. * Yes * No 6. * University of Kentucky HealthCare recognizes a set of values that guide us in our daily interactions. By applying for a position within UK Healthcare, you are indicating your commitment and expressing your agreement to our five values. These values are diversity, innovation, respect, compassion, and teamwork. Please choose one of the UK Healthcare values and give a specific example when you exhibited this quality in your professional experience. (Open Ended Question) 7. * University of Kentucky HealthCare seeks to attract, develop and retain highly skilled and competent employees, to provide the best experience for every patient, every time. If selected for a position, do you agree to abide by the UK HealthCare Values of diversity, innovation, respect, compassion, and teamwork? * Yes * No 8. * Where did you first see this position advertised other than on UK's online employment system? * InsideHigherEd.com * HigherEdJobs.com * Diverseeducation.com (Diverse Issues in Higher Education) * HERCjobs.org (Higher Education Recruitment Consortium) * InsightIntoDiversity.com * Latinosinhighered.com * HospitalCareers.com * Indeed.com * LinkedIn.com * Institute for Diversity in Health Management * A Colleague, Friend and/or Family Member * None of the Above Applicant Documents Required Documents 1. Resume Optional Documents 1. Cover Letter Apply Here: https://www.click2apply.net/zWLgG6UdqRRKZUANBFbbrKPI208411676