RN Utilization Review

1 month ago


Manhattan, United States Confident Staff Solutions Full time
Job DescriptionJob DescriptionSummary

Department: Utilization Mgmt

Shift timings: 7:30-16:00 Monday to friday (5 Days/ 8 Hours)

Per Week: 40 Hours

ICU-8beds Medical-25 Surgical-25 Meditech Preferred work in all above areas Use of MCG criteria Use of Interqual criteria

Roles & Responsibilities
  • Concurrent review of patient's clinical information for efficiency
  • Ongoing review of precertification requests for medical necessity
  • Monitor the activities of clinical and non-clinical staff
  • Coordinates patients discharge planning needs with the healthcare team
  • Employ effective use of knowledge, critical thinking, and skills to:
    • Advocate quality care and enhanced quality of life
    • Prevent patient complications during hospital stay
    • Advocate decreased hospital stay when appropriate
  • Maintain accurate records of all patient related interactions
  • Prepare monthly patient management and cost savings report
  • Work in an intensive, fast-paced environment with minimal supervision
  • Ability to stay organized and interact well with others in any situation
  • Provide daily updates to Manager of Utilization Management for review
Minimum Qualifications
  • Bachelor's degree in Nursing
  • State licensure as a Registered Nurse (RN)
  • Minimum 2 years of prior experience in Utilization Management
Required Skills

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