RN-CMH HOS Utilization Rev

Citizens Memorial Hospital (CMH) is recruiting a Registered Nurse (RN) to join our Utilization Review Department CMH is made up of 34 primary and specialty clinics, 6 Long-Term Care facilities, and 1 residential care facility. Offering acute care, emergency services, ambulatory care, pharmacies, walk-in clinics, surgeries, addiction recovery, therapies, and more, CMH has its community covered About the area Located in the heart of the Ozarks, our main campus in Bolivar has a hometown feel and affordable housing options of rentals or apartments. Enjoy a movie, a round of golf or a college game with family or friends and grab a coffee or meal from an array of shops and restaurants Springfield is only 40 minutes away with Battlefield Mall, Big Shots golf, Wonders of Wildlife, Urban Air and many other family attractions and restaurants to visit. Only an hour away is Branson that includes many shows to see, Silver Dollar City and shopping About the Department Utilization Review ensures the appropriate and efficient use of healthcare services by evaluating medical necessity and service appropriateness. A typical day includes Promoting and maintaining high-quality and medically necessary care through the analysis, review, and evaluation of clinical practices and medical records. Coordinating thereview and report prospectively, concurrently, and retrospectively to the patient's payment carrier Collaborating with providers This position is Full-time, days. Job Requirements Education: Bachelors degree Experience: UR experience or extensive acute/critical hospital care experience (ICU/PCU & Med/Surg) Skills: Attention to detail, communication skills License: RN Physical: The ability to sit for extended periods of time and to operate a computer Benefits include Competitive wages Annual merit increases No cost health insurance option for employee Full suite of insurance benefits available for employee and family Early access to pay with on-demand PayActiv Program Employee Assistance Program Paid time off Increased Company Matched Retirement Plan Company-paid long term disability plan Connect with us See yourself at CMH and join in the fun For more information about this opportunity, please contact Reagan Payne at or by email at #J-18808-Ljbffr