Medicaid Utilization Review Specialist

Job Summary:

This is a unique opportunity to work in an academic and clinical Adult Orthopedic Spine Surgery practice. The position will be a full-time exempt (non-hourly) Instructor -Physician Assistant/Nurse Practitioner position in the Department of Orthopedics. The employee will work in the Denver Metropolitan area. The position is not eligible for tenure.

Key Responsibilities:

• Obtains detailed history and performs physical examinations on assigned patients; assesses and treats acute/chronic medical problems (focusing on the musculoskeletal system) and provides direct patient care to a specified patient population. Write prescriptions for medications, PT, OT, imaging studies, and DME as needed. Complete FMLA and other forms and school notes as needed.
• Assists in providing pre-op, intra-op and post-op care; writes appropriate orders, including those for narcotics and other scheduled drugs.
• Performs emergency lifesaving procedures in cases such as cardiac arrest, respiratory arrest, massive hemorrhage, or similar emergencies. Occasionally provide fracture reductions in ER or office as needed, but not conscious sedation. Perform joint aspirations and injections.
• Notifies attending physician on call, house physician on call, or supervising physician regarding any unusual or unexpected events or problems requiring direct physician consultation.
• Practices safety, environmental, and/or infection control methods.
• Coordinates the activities of patient care and support staff within the clinic. Work with the team to ensure smooth operation of the clinic.
• Writes progress notes on patients' office and hospital charts indicating patient status and treatment procedures performed; maintains other records as required.
• Provides health education to patients and families; may train and supervise medical students, residents, fellows, and other mid-level students or other health professional students engaged in specific clinical activities.
• Enhances professional growth and development through participation in educational programs, current literature, in-service meetings and workshops.
• Participate (attend, give talks, help organize) in educational programs including weekly academic conferences, journal clubs, etc.
• Will assist in community outreach events including giving educational talks, organizing, planning, and attending.
• Assist orthopedic surgeon in operating room setting.
• Help develop written educational materials and treatment protocols for specific conditions and post-operative care.
• Assist in preparing and giving power point and poster presentations for educational purposes at institutional, local and national meetings.
• May perform clinical research related to specific conditions and assist in preparation of manuscripts for publication.
• Must become proficient in documentation and use of the current electronic medical record program and be an available resource to other health care providers.
• Performs miscellaneous job-related duties as assigned.
• Flexibility is required as the nature of the position will change over time as one gains knowledge and experience with Orthopedic Spine conditions. The expectation will be for gradually more independence in the office as confidence is gained.
• May be required to work at locations other than the University Hospital Colorado, including but not limited to the VA and Denver Health.
• May be expected to cover some on call duties in the future, such as rounding on the weekends, covering ER and floor consults. 

Why Join Us:

We are a department of nationally ranked orthopedic surgeons and our mission is to provide the highest quality, professional and innovative orthopedics care through the integration of comprehensive education and cutting-edge musculoskeletal research.  We place a high level of importance on achieving and maintaining a diverse environment that fosters excellence and rewarding opportunities. 

The University of Colorado offers a comprehensive benefits package that includes health insurance, life insurance, retirement plans, tuition benefits, ECO pass, paid time off – vacation, sick, and holidays and more. To see what benefits are available, please visit: https://www.cu.edu/employee-services/benefits-wellness .

Diversity and Equity:

The University of Colorado Anschutz Medical Campus is committed to recruiting and supporting a diverse student body, faculty and administrative staff. The university strives to promote a culture of inclusiveness, respect, communication and understanding. We encourage applications from women, ethnic minorities, persons with disabilities, persons within the LGBTQ+ community and all veterans. The University of Colorado is committed to diversity and equality in education and employment.

Qualifications:

Minimum Qualifications:
Applicants must meet minimum qualifications at the time of hire.  

• State of Colorado Certified Physician's Assistant or Inclusion on the State of Colorado Advanced Practice Registry as an Advance Practice Nurse
• Certification by the National Commission on Certification of Physician's Assistants
• CPR or BLS Certified 

Preferred Qualifications:

• 6 months to 1 year experience preferred. May be willing to train new graduate with previous hospital/orthopedic experience or exceptional qualities. 

How to Apply:

For full consideration, please submit the following document(s):

Applications are accepted electronically ONLY at www.cu.edu/cu-careers .

Questions should be directed to: [email protected]  

Screening of Applications Begins:

Immediately and continues until position is filled. 

Anticipated Pay Range:

The starting salary range (or hiring range ) for this position has been established as HIRING RANGE:

$107,000 - $120,000

The above salary range (or hiring range ) represents the University’s good faith and reasonable estimate of the range of possible compensation at the time of posting. This position is not eligible for overtime compensation unless it is non-exempt.

Your total compensation goes beyond the number on your paycheck. The University of Colorado provides generous leave, health plans and retirement contributions that add to your bottom line.

Total Compensation Calculator: http://www.cu.edu/node/153125

ADA Statement:

The University will provide reasonable accommodations to applicants with disabilities throughout the employment application process. To request an accommodation pursuant to the Americans with Disabilities Act, please contact the Human Resources ADA Coordinator at [email protected] ​.

Background Check Statement:

The University of Colorado Anschutz Medical Campus is dedicated to ensuring a safe and secure environment for our faculty, staff, students and visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees.

Vaccination Statement:

CU Anschutz strongly encourages vaccination against the COVID-19 virus and other vaccine preventable diseases . If you work, visit, or volunteer in healthcare facilities or clinics operated by our affiliated hospital or clinical partners or by CU Anschutz, you will be required to comply with the vaccination and medical surveillance policies of the facilities or clinics where you work, visit, or volunteer, respectively. In addition, if you work in certain research areas or perform certain safety sensitive job duties, you must enroll in the occupational health medical surveillance program .