Location: Aurora, CO, United States
Category: Nursing Professional
Job Type: Full Time
Job ID: 96833
Date Posted: Jan 17, 2023
Ensures that services are delivered and documented in a manner that balances quality of care with efficiency, cost-containment and compliance.
Work Schedule: Full Time Days
Reviews admissions and service requests within assigned unit for prospective, concurrent, and retrospective medical necessity and/or compliance with reimbursement policy criteria.
Provides case management and/or consultation for complex cases. Assists departmental staff with issues related to Milliman (or similar) guidelines, status determination, medical records/documentation, precertification, reimbursement and concurrent denials appeals.
Collaborates closely with case managers to make sure status’ and level of care is accurate. Communicates with payers as needed to ensure patient accounts are secured.
Assesses and coordinates patient's discharge planning needs with members of the healthcare team.
Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action.
The pay range for this position is: $36.47 - $56.52 / hour. Pay is dependent on applicant's relevant experience.
UCHealth offers a Five Year Incentive Bonus to recognize employee’s contributions to our success in quality, patient experience, organizational growth, financial goals, and tenure with UCHealth. The bonus accumulates annually each October and is paid out in October following completion of five years’ employment.
UCHealth offers their employees a competitive and comprehensive total rewards package:
Loan Repayment:UCHealth is a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program!
UCHealth provides employees with free assistance navigating the PSLF program to submit their federal student loans for forgiveness through Savi.
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We believe in something different: a focus on the individuality of every person. In big ways and small, we exist to improve the extraordinary lives of all those we serve. As Colorado’s largest and most innovative health care system, we as a team deliver on the commitment to provide the best possible experience for our patients and their families. We foster a true human connection and give people the freedom to live extraordinary lives. A career at UCHealth is more than a job, it’s a passion.
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UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an affirmative action/equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual’s race, creed, color, religion, gender, national origin or ancestry, age, mental or physical disability, sexual orientation, gender identity, transgender status, genetic information or veteran status. UCHealth does not discriminate against any “qualified applicant with a disability” as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization.