1420 Utilization Management Rn jobs in Vineyard,UT

Student Support Caregiver

Milton Hershey School

Lindon, UT 84042

tsa security

Orem, UT 84058

Mountain View Hospital

Payson, UT 84651

Lone Peak Hospital

Draper, UT 84020

Adex Medical Staffing

Provo, UT 84605

Timpanogos Regional Hospital

Orem, UT 84057

MasTec

Provo, UT 84605

William Charles Construction

Provo, UT 84605

Molina Healthcare

Vineyard, UT 84059

At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience.
Registered Nurse (RN). License must be active and unrestricted in state of practice.
Compact license is acceptable where states allow.
Experience demonstrating knowledge of ICD-10, Current Procedural Technology (CPT) coding and
Healthcare Common Procedure Coding (HCPC).
Experience working within applicable state, federal, and third-party regulations.
Analytic, problem-solving, and decision-making skills.
Organizational and time-management skills.
Attention to detail.
Critical-thinking and active listening skills.
Common look proficiency.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software program(s) proficiency.