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Utilization Review RN

1 month ago


Norman, United States Norman Regional Hospital Authority Full time

Departmental OverviewThe Utilization Review team is comprised of highly skilled Registered Nurses who ensure Norman Regional Health System follows a compliant review process to determine appropriateness of admission.Job Summary* Utilization Review, Utilization Management, Advocacy and Education* Clinical Analysis and Data Management* Clinical Care Management/Coordination* Resource Management* Transition Management and Denial Prevention* Utilization Management* Psychosocial Management* Assist with establishing and review of departmental metrics on annual basis or as needed to insure mission, vision and strategic plan of NRHS.QualificationsEducation* Diploma or Associate's degree (ADN) required, Bachelor of Science in Nursing (BSN), or Master's of Science in Nursing (MSN) preferred.Experience* 3 years of acute RN experience required.* Prior Utilization Review experience preferred.* Current knowledge of medical necessity guidelines for hospitalization status preferred.(Above requirements can be met by equivalent combination of education and experience)Licensure/Certification* Current, RN license in the state of Oklahoma, Basic Life Support (BLS) training or retraining is required and must be maintained for the duration of employment.Compensation/Benefits* $17.39-$28.40/hr depending on previous work experience.* Benefits include medical, dental, vision, short-term disability, long-term disability, life insurance, paid time off (PTO), paid holidays, tuition reimbursement, scholarship opportunities, retirement plans, free parking, and opportunities for advancement.Schedule9p-9a, days varyWork ShiftVariesPosition TypeRegular Full Time Learn More