JOB REQUIREMENTS: Love + medicine is who we are, it\'s what we do, it\'swhy people want to work here. If you\'re looking for a job to love,apply today. Schedule Weekly Hours:36 Gundersen Health System is seekinga Registered Nurse for our Utilization Management department. This isyour opportunity to contribute to the important behind-the-scenes workon the day shift while doing what you love in the beautiful couleeregion. What you will do: Fulfill 72 hours per two weeks = 0.9 FTE WorkMonday through Friday, 8-hour day shifts with one day off per two-weekpay period; one Saturday approximately every other month The UtilizationManagement Specialist has the important task of evaluating whether themedical record matches the clinical picture for revenue integrity, toensure that the patient\'s hospitalization and services are reasonableand necessary. Work with an interdisciplinary team consisting ofattending teams, admissions, social services, and revenue cycle Thiswork is \"behind the scenes.\" There is no direct patient care orcontact What you will get: Starting pay of \$31.45/hour + more forexperience! While this position is on-site, there may be an opportunityfor hybrid work following one year of successful full-time work Thisposition allows for flexible start/end times between the hours of0730-1700 Support to grow in your career with access to our CareerDevelopment Center and Tuition Investment Program Top-rated What youneed: Minimum of Associate Degree in Nursing Minimum of 2 years RNexperience RN licensure to practice in the state of Wisconsin upon hireGundersen Health System is healthcare for neighbors, by neighbors. Whilewe call La Crosse home, our system has 7 hospitals and 65 clinics inneighboring communities. Inside our walls and our neighborhoods, wedeliver world-class medical care combined with the right amount of love.We call it Love + Medicine and it\'s who we are. Job Description: TheUtilization Management Specialist performs medical necessity review ofinitial patient placement and continued stay review forhospitalizations. Applies nationally recognized criteria during reviewof patients\' medical records. Provides communication on reviewdeterminations to the attending physician and external revieworganizations as required by the patients insurance coverage or byGundersen Health Systems contract. Collaborates with the health careteam to assure that patient needs and discharge plans are documented andcertified as medically necessary. Monitors patient progress and outcomestowards goals. Assists with management of health care benefits andassists the patient/healthcare team in obtaining necessary services.Participates in performance improvement activities to achieve safequality patient care and assure compliance with regulations andcontracts. Educates physicians, nurses, ancillary staff and patientsthrough formal and... For full info follow application link.EEO/AA/Veterans/Disabilities ***** APPLICATION INSTRUCTIONS: ApplyOnline: ipc.us/t/96A2B78946FB42E1