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[New Job Vacancy] Utilization Management Reviewer/UKHC job in University of Kentucky, (Lexington, KY) – Jobs in Lexington, KY

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Job Opening details:-
Company Name :-
University of Kentucky
Position Name :-
Utilization Management Reviewer/UKHC
Company Location :-
Lexington, KY
Job Category :
 Management jobs

Full Job Description :-
Posting Details

Job Title

Utilization Management Reviewer/UKHC

Requisition Number


Working Title

Utilization Management Reviewer

Department Name

H4027: REV Cycle MGT-PFE

Work Location

Lexington, KY

Grade Level


Salary Range


Type of Position


Position Time Status


Required Education


Click here for more information about equivalencies:

Required Related Experience

5 yrs

Required License/Registration/Certification

Licensed Nurse

Physical Requirements

The physical conditions of this position include: occasionally standing or walking with objects up to 10lbs; regularly sitting at a computer workstation for extended periods of time with repetitive motions (such as typing); regularly working in confined spaces; and occasional exposure to radiation and combative people.


This position is primarily day shift; Monday through Friday with some weekends and holidays.

Job Summary

This position works as a member of the multidisciplinary team with social workers, case managers, financial counselors, and ancillary staff to actively manage and coordinate those functions associated with third party payer certification, appropriate utilization of health services, and some aspects of discharge planning.

The University of Kentucky considers the health, safety and well-being of our entire community to be a top priority. In alignment with this priority, all new hires must provide proof of COVID-19 vaccination or obtain an approved medical or religious exemption as a condition of employment. For areas that fall under the federal CMS mandate, start of employment cannot occur until two weeks after receiving the full COVID-19 vaccination series or upon obtaining an approved exemption. Only vaccines approved by the World Health Organization can be accepted.

Skills / Knowledge / Abilities

The ideal candidate will possess strong interpersonal, leadership, organizational, and written/verbal communication skills. General knowledge of criteria for accessing appropriate utilization of resources in the hospital is necessary. Exceptional planning and organizational skill. Effective written and verbal communication skills. General knowledge of criteria utilized by third party payers for admission and continued stay authorizations is necessary. General knowledge of Medicare, Medicaid, and third party payer reimbursement issues is necessary.

Does this position have supervisory responsibilities?


Preferred Education/Experience

ADN with 5 years direct patient care experience

Deadline to Apply


University Community of Inclusion

The University of Kentucky is committed to a diverse and inclusive workforce by ensuring all our students, faculty, and staff work in an environment of openness and acceptance. We strive to foster a community where people of all backgrounds, identities, and perspectives can feel secure and welcome. We also value the well-being of each of our employees and are dedicated to creating a healthy place to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors the University of Kentucky is a Tobacco & Drug Free campus.

As an Equal Opportunity Employer, we strongly encourage veterans, individuals with disabilities, women, and all minorities to consider our employment opportunities.

Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen.

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