Utilization Review RN

2 weeks ago

Choctaw OK United States Norman Regional Health System Full time

Overview:
The 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. Responsibilities:

* 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.

Qualifications:
Education

* 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.

  • Utilization Review RN

    2 weeks ago

    Choctaw, OK, United States Norman Regional Health System Full time

    Overview: The 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. Responsibilities: Utilization Review, Utilization Management, Advocacy and Education Clinical Analysis and Data Management Clinical Care...

  • Utilization Review RN

    2 weeks ago

    Choctaw, OK, United States Norman Regional Health System Full time

    Overview: The 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. Responsibilities: Utilization Review, Utilization Management, Advocacy and EducationClinical Analysis and Data ManagementClinical Care...

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    Choctaw, United States Norman Regional Health System Full time

    Overview: The 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. Responsibilities: Utilization Review, Utilization Management, Advocacy and Education Clinical Analysis and Data Management Clinical Care...

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