Utilization Review Technician conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Being a Utilization Review Technician reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Technician consults with nurses and physicians as needed. Position is non-RN. May require an associate degree or its equivalent. Typically reports to a supervisor. May require Registered Health Information Technician (RHIT). The Utilization Review Technician gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Utilization Review Technician typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
The University of Iowa Healthcare Downtown Campus, Utilization Review team is looking for a Nurse Clinician to functions as a clinical nurse expert and clinical coordinator acting as nurse liaison to physicians, patients and administration. Candidate will clinically review and facilitate changes in level of care, based on systematic evaluation, utilization management and evidence-based research. Incorporating Milliman care Guidelines in each review. This position will strive to achieve quantitative measures of success across the UIHC Hospitals, including Stead Family Hospital and University of Iowa Healthcare.
Position Responsibilities
Percent of Time: 60%
Schedule: Monday – Friday, shifts primarily between 7:00 am and 6:00 pm. Occasional holiday rotation.
Benefits Highlights:
Required Qualifications
Desired Qualifications
Position and Application details:
In order to be considered for an interview, applicants must upload the following documents and mark them as a “Relevant File” to the submission:
• Resume
• Cover Letter
Job openings are posted for a minimum of 14 calendar days and may be removed from posting and filled any time after the original posting period has ended.
Successful candidates will be required to self disclose any conviction history and will be subject to a criminal background check and credential/education verification. Up to 5 professional references will be requested at a later step in the recruitment process.
For additional questions, please contact seton-vinsand@uiowa.edu