Utilization Review Author (Weekend) Job at Idaho State Job Bank in Boise

Utilization Review Author (Weekend) at R1 RCM in Boise, Idaho, United States Job Description R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems, and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Utilization Review Author , you will help our hospital clients by working alongside our Physician Advisory team to provide first-level initial admission and continued stay case reviews. Every day you will, determine the appropriate cases for review, utilizing client-specific guidelines. Upon identification of a case, you will ensure that appropriate orders and clinical documentation are in place prior to the application of the evidence-based criteria. To thrive in this role, you must have experience in a clinical inpatient environment and hospital-based utilization or case management experience. Proficiency in basic computer skills is essential for excelling in this remote position. Here's what you will experience working as a Utilization Review Author: + Perform initial admission and continued stay reviews utilizing InterQual or Milliman to identify and support the appropriate level of care. + Abstract data from a variety of medical records to ensure accurate clinical data. + Adhere to established quality, timeliness, and productivity outputs required in the completion of first-level nursing utilization review. + Perform other duties as assigned by departmental leadership in support of departmental and organizational strategies and goals which may include system testing, training, and other opportunities that promote growth. + Maintain a compressed weekend schedule of four ten-hour shifts Friday to Monday. Required Skills: + Active Registered Nurse license For this US-based position, the base pay range is $26.26 - $38.50 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training. The healthcare system is always evolving - and it's up to us to use our shared expertise to find new solutions that can keep up. On our growing team you'll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career. Our associates are given the chance to contribute, think boldly and create meaningful work th To view full details and how to apply, please login or create a Job Seeker account