Registered Nurse - Utilization Review

Bethel​, Alaska

We are working together to achieve excellent health. Come join us!

The Yukon-Kuskokwim Health Corporation is a Tribal health care organization, serving nearly 30,000 people living across rural, southwest Alaska in villages with populations from about 10 to more than 1,000. Bethel, the regional hub and location of the only hospital in the region, has a population of nearly 7,000. The Yukon-Kuskokwim Delta is home to thousands of lakes and two primary rivers—the Kuskokwim and Yukon.

 We offer a broad range of employment opportunities and the chance to make a meaningful impact on the health of people in the region.

Position Summary:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

The Utilization Review Nurse, reporting to the Revenue Cycle Director, provides the professional assessment and reporting of complex acute clinical datasets to various agencies internally and externally. This individual works with numerous business and clinical units across the corporation to ensure the timely interpretation and processing of business rules. The UR Nurse will report on workload activity, challenges that prevent processing or approval of days, and provides decision support on opportunities for improvement in the entire Utilization Review process. This individual must have excellent communication, time management, and networking skills in working with clinical providers and financial decision makers.

Position Qualifications:

• Bachelor's Degree in Nursing.  Degree requirements may be waived on a year for year basis for a combination of experience and education.
• 5 years nursing experience required.
• 3 years Revenue Cycle experience preferred.
• Registered Nurse. License must be and remain in good standing in the State of Alaska. Continuing education may be supported in the workplace, however it is the responsibility of the incumbent to take all necessary steps to maintain their licensure.
• Must have Certification Professional in Healthcare Management or the ability to acquire within 2 years of employment.

Benefits Include:

• Generous PTO – beginning at 4.5 weeks
• Eleven paid holidays
• Comprehensive healthcare coverage
• Life and Disability Insurance
• Flexible Spending Account
• School loan repayment eligibility
• Tort Claims coverage
• Retirement plans
• Employee Wellness Center
• $30,000 Sign On Bonus with a three year agreement*.

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Additional Information:

Yukon Kuskokwim Health Corporation is an Affirmative Action/Equal Opportunity Employer. All qualified individuals will receive consideration for employment without regard to race, ethnicity, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status and any other basis protected by law. Individuals with disabilities needing assistance in the recruitment process are encouraged to contact Human Resources directly. 

Under P.L. 93-638, preference is given to Alaska Native/American Indian applicants.

For more information, please contact the YKHC Recruitment Department at YKHCRecruitment@YKHC.org or phone (907) 543-6060 and ask to speak with a recruiter.

To view more positions available please visit YKHC Career Center (https://chu.tbe.taleo.net/chu01/ats/careers/v2/jobSearch?org=YKHC&cws=41)