JOB REQUIREMENTS: Love + medicine is who we are, it\'s what we do, it\'s
why people want to work here. If you\'re looking for a job to love,
apply today. Schedule Weekly Hours:36 Gundersen Health System is seeking
a full-time Registered Nurse for our Utilization Management department.
This is your opportunity to work the day shift while doing what you love
in the beautiful coulee region. What you will do: Fulfill 72 hours per
two weeks = 0.9 FTE Work Monday through Friday, 8-hour day shifts with
one day off per two-week pay period; one Saturday approximately every
other month The Utilization Management Specialist has the important task
of evaluating whether the medical record matches the clinical picture
for revenue integrity, to ensure that the patient\'s hospitalization and
services are reasonable and necessary. Work with an interdisciplinary
team consisting of attending teams, admissions, social services, and
revenue cycle This work is mostly spent \"behind the scenes\" with
occasional patient contact What you will get: Starting pay of
\$32.20/hour + more for experience! While this position is on-site,
there may be an opportunity for hybrid work following one year of
successful full-time work This position allows for flexible start/end
times between the hours of 0730-1700. Hours during orientation will be
0800 - 1630. Support to grow in your career with access to our Career
Development Center and Tuition Investment Program Top-rated retirement
plan and healthcare benefits What you need: Minimum of Associate Degree
in Nursing Minimum of 2 years RN experience RN licensure to practice in
the state of Wisconsin upon hire Gundersen Health System is healthcare
for neighbors, by neighbors. While we call La Crosse home, our system
has 7 hospitals and 65 clinics in neighboring communities. Inside our
walls and our neighborhoods, we deliver world-class medical care
combined with the right amount of love. We call it Love + Medicine and
it\'s who we are. Explore why La Crosse is a great place to live and
work!Job Description: The Utilization Management Specialist performs
medical necessity review of initial patient placement and continued stay
review for hospitalizations. Applies nationally recognized criteria
during review of patients\' medical records. Provides communication on
review determinations to the attending physician and external review
organizations as required by the patients insurance coverage or by
Gundersen Health Systems contract. Collaborates with the health care
team to assure that patient needs and discharge plans are documented and
certified as medically necessary. Monitors patient progress and outcomes
towards goals. Assists with management of health care benefits and
assists the patient/healthcare team in obtaining necessary services.
Participates in performance improvement activities to achieve safe
quality patient care and assure compliance with... For full info follow
application link. EEO/AA/Veterans/Disabilities ***** APPLICATION
INSTRUCTIONS: Apply Online: ipc.us/t/A577E54D5BB643B3