CSI ANALYST
QUALIFICATIONS
Education: Bachelors of nursing required
Licensure: Registered Nurse with valid Ohio license
Certification: Certification in area of clinical specialty preferred
Experience: Minimum of 5 years of clinical experience within the last 10 years preferred
Experience with utilization management, case management, or 3rd party payors
required
Demonstrated expertise in performance improvement process required
Knowledge of InterQual, Milliman, and 3rd party insurance requirements required
Knowledge of hospital reimbursement, third party billing, and governmental rules and regulations preferred
Skills/Other: Personal computer skills required, including use of Microsoft Word, Microsoft Excel and EPIC
Experience in gathering information, monitoring indicators, and feedback mechanisms is required.
Strong interpersonal skills required
Ability to research, obtain and evaluate information, analyze problems and make appropriate recommendations required
Demonstrated conflict resolution skills required
Assertive communication skills required