Utilization Review Specialist | 40 hours per week | Utilization Review

United States·West Burlingtonmid

Healthcare Non-ClinicalUtilization Review Specialist

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Quick Summary

Overview

Minimum Hiring Wage:From $39.

Technical Tools

Healthcare Non-ClinicalUtilization Review Specialist

From $39.37 per hour

Scheduled Hours: Days | 8:00am - 4:30pm |
Every 7th Weekend 8:00am - 8:30pm

Bachelor’s Degree in related field Preferred

Responsibilities

~1 min read

Requirements

~2 min read

4-6 years clinical experience Required
Previous experience in Utilization Review Preferred
Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.
Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
Knowledge of Utilization Management methods, principles and techniques.
Knowledge of types of providers and services available for patients.
Managing one's own time to ensure effective Utilization Management.
Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
Being aware of others' reactions and understanding why they react as they do.
Adjusting actions in relation to others' actions.
Talking to others to convey information effectively.
Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
Understanding written sentences and paragraphs in work related documents.
The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.
The ability to listen to and understand information and ideas presented through spoken words and sentences.
The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).
The ability to communicate information and ideas in speaking so others will understand.
The ability to work cooperatively and effectively with other professionals in a team situation.
The ability to collect and analyze information.
The ability to make decisions relating to services provided to consumers.
The ability to develop a logical and practical plan.
The ability to evaluate the progress of patients.
The ability to mediate with providers and other staff to resolve problems.
The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations).
The ability to identify and understand the speech of another person.
Registered Nurse Iowa Board of Nursing (IBON) (United States of America) Upon Hire Required