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SUMMARY: The UR/denials nurse conducts chart reviews to ensure medical necessity, appropriateness of admission, continued length of stay and level of care using clinical information and clinical criteria. The role also participates in the denial management process as well.
EXPERIENCE: Minimum 2-3years experience in Case Management or related healthcare field
SPECIAL SKILLS: Computer Proficiency
OTHER: Excellent communication, interpersonal, organizational and presentation skills
LICENSE/CERT: Required: RN (Registered Nurse) State of Missouri Preferred: CCM (Certified Case Management)
EDUCATION: Required: Bachelors - Nursing
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About North Kansas City Hospital
Ranked as one of Kansas City’s Top 15 Employers by the Business Journal, North Kansas City Hospital provides the ideal place to launch your nursing career. For New Grads, we offer an exceptional combination of individual guidance and professional training. Our Nurse Residency Program includes classroom and hands-on experience with feedback and support from preceptors, nurse educators and nurse managers. We offer a stable, caring environment, plus extras like covered parking, wellness programs and classes, a fitness center and indoor pool that help create a fulfilling, balanced work life. Our 451-bed hospital has a culture that is friendly and close knit, where relationships last and people bond like family. Join us as we continue on our Magnet® journey.