Quality Utilization Reviewer I job vacancy in Children’s of Alabama – Jobs in Alabama

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Job Details
Company Name : Children’s of Alabama
Company Location : Birmingham, AL 35233
Job Position : Quality Utilization Reviewer I
Job Category : Jobs in Alabama

Job Description :

  • Job Summary
      The UR Reviewer 1 is responsible for performing inpatient admission, concurrent, and observation reviews based on pre-established criteria exclusively for Medicaid and commercial payers other than BCBS AL. Upon successful completion of training by UR Reviewer 2 and with approval of UM Manager & Department Director, UR Reviewer 1 with RN licensure may advance to Nurse Reviewer 2 (If position becomes available).

  • Education
      Graduate of an accredited School of Nursing or Social Work.

  • Experience
    • 2 years experience in hospital setting or related field (i.e. 3rd party payer)
    • Utilization review experience preferred.
  • Licensures, Certifications, and/or Registries
      Current AL licensure as LPN, RN or LCSW

Location: Children’s of Alabama · Utilization Management

Schedule: Full-time, Day shift, 8am- 4:30pm

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