Utilization Review Manager
1 month ago
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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