Supervisor Utilization Review

Main Campus Lee Building Day Shift Utilization Management Req # 2463 Location 1620 4th Avenue South, Lee Building, Birmingham, Alabama Category Clinical Professional Schedule Full Time Work Schedule 8-Hour Shifts Schedule Description Monday - Friday 8:00am - 4:30pm on call rotating weekend coverage

In Utilization Management at Main Campus Lee Building

Work schedule will be Full-time on the Day Shift, Monday - Friday 8:00am - 4:30pm on call rotating weekend coverage.

Summary:

The Nurse Reviewer 3 is responsible for performing inpatient admission reviews, concurrent reviews, and observation reviews primarily for BCBS AL patients, based on InterQual criteria and local policies. However, Nurse Reviewer 3 should also be capable of performing such reviews for AL Medicaid and other commercial payers if needed.

Credentials with Equivalent Qualifications:

Essential:

• Registered Nurse AL Single State or any of the following equivalent qualifications below:
• Registered Nurse AL NLC Multi State
• Registered Nurse Non-AL NLC Multi State
• Basic Life Support

Education with Equivalent Qualifications:

Essential:

• Associate of Science Nursing in Nursing

Experience with Equivalent Qualifications:

Essential:

• 5 Years Staff Level

Schedule: Monday - Friday 8:00am - 4:30pm on call rotating weekend coverage, Day Shift, 8-Hour Shifts