Utilization Review Manager

1 month ago


Nyack, United States Tandym Group Full time

A growing health services network in New York is currently seeking an experienced, licensed Registered Nurse (RN) to join their Case Management team as a Utilization Review specialist. In this role, the Utilization Review Specialist (RN) will be responsible for assisting the team with utilization management and discharge planning

About the Opportunity:

  • Schedule: Monday to Friday
  • Hours: 8:30am to 5pm
  • Specialty: Case Management

Responsibilities:

The Utilization Review Manager (RN) will:

  • Carries out activies related to utilization management, discharge planning and care coordination
  • Utilize data, trends and reports to proactively identify opportunities to improve processes and practice
  • Performs as an integral part of the interdisciplinary team promotion interdisciplinary collaboration.
  • Perform other duties, as needed

Qualifications:

  • 3+ years of Clinical experience
  • Bachelor's Degree in Nursing
  • NYS Registered Nurse (RN) license
  • Managed Care experience with Utilization Review and Discharge Planning

Desired Skills:

  • Certified in Case Management
  • PRI
  • Experience in a Emergency Room, Intensive Care, and/or Medical-Surgical setting


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