Utilization Review Nurse RN or LPN

Should have a high level of clinical knowledge and a current Arkansas licensure as a RN.

Preferably experienced in the use of ICD-CM and CPT coding systems.

Skilled in the use of the computer and photocopier.

Good people and phone skills required.

Training and Experience: Should have past experience working with Medical Staff, patients, hospital associates and insurance companies.

Must be capable of following verbal and written instructions.

Should practice diplomacy in dealing with Medical Staff, patients, associates and insurance companies.

Will participate in ongoing education through workshops, in service programs and updates from CMS, AFMC and other government and private agencies.

Job Knowledge: Must be able to communicate verbally and in written format with the Medical Staff, review organizations, administration and others as indicated.

Must be able to apply current nursing knowledge to determine appropriate acuity levels and appropriate care by chart review.

In the interest of protecting the health and safety of all patients, associates, and guests, Unity Health has classified some positions as “safety sensitive.” A “safety sensitive” position is any job position in which impaired performance could result in harm to the health and/or safety of self or others.

Any associate that is actively engaged in the use of medical marijuana, even if in possession of a valid medical marijuana card, will be excluded from employment in a “safety sensitive” position.