Utilization Review RN ATRMC

2 weeks ago

Grants Pass, United States Asante Full time

Utilization Review RN ATRMC (Utilization Management)

Additional Position Details: FTE: 0.000001 | On Call | Variable Schedule Days

Why Asante

Asante is more than a great hospital system in an amazing location. We are a community of passionate providers and service-focused caregivers who collaborate to deliver amazing patient outcomes; a place where titles don't matter as much as your creativity, drive, and passion. Our culture, values and people create an environment of sustained medical excellence.

Position Summary

The Utilization Review Nurse monitors utilization practices from preadmission to discharge to assure cost-effective, quality patient care and to ensure that patient, physician, and hospital/system receive maximum benefits from the health plan. Also ensures compliance with all regulatory requirements involved in the continuum of care. In this role, general responsibilities include:

  • Receiving and disseminating information related to system, departmental, and patient processes
  • Participating in data collection activities to support departmental programs and services
  • Monitoring and reporting on patient outcomes and actively working with other members of the interdisciplinary team to facilitate improved delivery of cost-effective services
  • Conducting utilization review, evaluating clinical information, and communicating findings to payors within the framework of contractual and government regulations
  • Reviewing all admissions for appropriate inpatient vs. outpatient / observation status
Qualifications
  • Bachelor's degree in Nursing - OR - at least 2 recent years of demonstrated utilization/case management experience in a recognized program may be considered in lieu of degree
  • RN: Registered Nurse licensed by Oregon State Board of Nursing is required upon start

Preferred Certifications

  • CCM: Certified Case Manager
  • CPHM: Certified Professional Healthcare Management
What We Offer for Full-time and Par-time Positions
  • Competitive starting wage
  • Comprehensive benefits including medical, dental, vision, and wellness
  • Excellent retirement package with up to 6% employer contribution
  • Generous Earned Time Off
  • Tuition reimbursement after one year of service
What We Offer Our Flexible Workforce (Per diem/On-call)
  • Competitive starting wage
  • An additional 15% on top of the base hourly rate (if not an employee already in a benefited position)
  • Benefit option available through the Asante Flexible Workforce plan
  • Excellent retirement package with up to a 6% employer contribution
About Asante and Southern Oregon

Asante is a local, community owned and governed, not-for-profit organization that provides comprehensive health care services to more than 550,000 people in a nine-county area of Southern Oregon and Northern California. It includes Asante Ashland Community Hospital in Ashland, Asante Rogue Regional Medical Center in Medford, Asante Three Rivers Medical Center in Grants Pass, Asante Physician Partners throughout the Rogue Valley, and additional health care partnerships. Virtually all medical specialties and services are represented within an organization dedicated to providing exceptional care. With over 5,000 employees, Asante's entities offer outstanding opportunities for career advancement and professional growth. At Asante your work positively impacts your family, friends, neighbors and the community. Experience the difference in how you work, how you live and how you connect.

At Asante we are defined by our values - traits that guide us as we serve patients and the community:

Excellence - Respect - Honesty - Service - Teamwork

Asante is an equal opportunity employer. We are committed to employ and advance in employment women, minorities, qualified individuals with disabilities and protected veterans.

  • Registered Nurse ATRMC

    2 weeks ago

    Grants Pass, United States Asante Full time

    Registered Nurse ATRMC (Ortho Neuro) Additional Position Details: FTE: 0.900000 | Full Time | Variable Schedule Nights External candidates may be eligible for a Recruitment Bonus and/or Relocation Assistance! Questions? Please contact Maggie Masuko, Nurse Recruiter at maggie.masuko@asante.org Why Asante Asante is more than a great hospital system in an...

  • Respiratory Care Practitioner 2 ATRMC

    2 weeks ago

    Grants Pass, United States Asante Full time

    Respiratory Care Practitioner 2 ATRMC (Cardiopulmonary) Additional Position Details: FTE: 0.000001 | On Call | Variable Schedule Days External candidates may be eligible for a Recruitment Bonus and/or Relocation Assistance! Questions? Contact Whitney Sullens at whitney.sullens@asante.org Why Asante Asante is more than a great hospital system in an amazing...

  • Utilization Review Nurse Specialist

    6 days ago

    Grants Pass, Oregon, United States Asante Full time

    Job SummaryThe Utilization Review Nurse plays a critical role in ensuring cost-effective, quality patient care and compliance with regulatory requirements. This position involves monitoring utilization practices from preadmission to discharge, receiving and disseminating information related to system, departmental, and patient processes, and participating in...

  • Certified Nursing Assistant 2 ATRMC

    2 months ago

    Grants Pass, United States Asante Full time

    Certified Nursing Assistant 2 ATRMC (ACOH PACU) Additional Position Details: FTE: 1.000000 | Full Time | Variable Schedule Days For the Asante Outpatient Center, the schedule would be day shifts/Monday - Friday with no weekends or major holidays. The Asante Outpatient Center is a state-of-the-art clinic designed to consolidate specialty services. This...

  • Supervisor, Utilization Management

    1 month ago

    GRANTS PASS, United States Centene Full time

    You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Supervises Prior Authorization, Concurrent Review, and/or...

  • Clinical Utilization Manager

    6 days ago

    Grants Pass, Oregon, United States Asante Full time

    Job SummaryThe Utilization Review Nurse plays a critical role in ensuring cost-effective, quality patient care and compliance with regulatory requirements. This position involves monitoring utilization practices from preadmission to discharge, receiving and disseminating information related to system, departmental, and patient processes, and participating in...

  • CNA & Unit Secretary ATRMC (Cardiac Center)

    2 weeks ago

    Grants Pass, United States Asante Health System Full time

    Additional Position Details: FTE: 0.9 | Full Time | Variable Schedule Nights As a CNA/Unit Secretary at Asante, you will have the opportunity to earn the following shift differentials: * $1.21 extra per hour for hours worked between 3:00pm-11:00pm * $2.05 extra per hour for hours worked between 11:00pm-7:00am * $1.05 extra per hour for hours worked on...

  • CNA & Unit Secretary ATRMC (Cardiac Center)

    2 weeks ago

    Grants Pass, United States Asante Health System Full time

    Additional Position Details: FTE: 0.600000 | Part Time | Variable Schedule Days As a CNA/Unit Secretary at Asante, you will have the opportunity to earn the following shift differentials: * $1.21 extra per hour for hours worked between 3:00pm-11:00pm * $2.05 extra per hour for hours worked between 11:00pm-7:00am * $1.05 extra per hour for hours worked on...

  • CNA & Unit Secretary ATRMC (Cardiac Center)

    2 weeks ago

    Grants Pass, United States Asante Health System Full time

    Additional Position Details: FTE: 0.900000 | Full Time | Variable Schedule Nights As a CNA/Unit Secretary at Asante, you will have the opportunity to earn the following shift differentials: * $1.21 extra per hour for hours worked between 3:00pm-11:00pm * $2.05 extra per hour for hours worked between 11:00pm-7:00am * $1.05 extra per hour for hours worked on...

  • CNA & Unit Secretary ATRMC (Cardiac Center)

    3 months ago

    Grants Pass, United States Asante Full time

    Additional Position Details: FTE: 0.9 | Full Time | Variable Schedule NightsAs a CNA/Unit Secretary at Asante, you will have the opportunity to earn the following shift differentials:$1.21 extra per hour for hours worked between 3:00pm-11:00pm$2.05 extra per hour for hours worked between 11:00pm-7:00am$1.05 extra per hour for hours worked on weekend...

  • CNA & Unit Secretary ATRMC (Cardiac Center)

    2 weeks ago

    Grants Pass, United States Asante Full time

    Additional Position Details:FTE: 0.900000 |Full Time|Variable Schedule NightsAs a CNA/Unit Secretary at Asante, you will have the opportunity to earn the following shift differentials:$1.21 extra per hour for hours worked between 3:00pm-11:00pm$2.05 extra per hour for hours worked between 11:00pm-7:00am$1.05 extra per hour for hours worked on weekend...

  • CNA & Unit Secretary ATRMC (Cardiac Center)

    2 weeks ago

    Grants Pass, United States Asante Full time

    Additional Position Details:FTE: 0.600000 |Part Time|Variable Schedule DaysAs a CNA/Unit Secretary at Asante, you will have the opportunity to earn the following shift differentials:$1.21 extra per hour for hours worked between 3:00pm-11:00pm$2.05 extra per hour for hours worked between 11:00pm-7:00am$1.05 extra per hour for hours worked on weekend shiftsWhy...

  • Clinical Nurse Specialist

    2 weeks ago

    Grants Pass, Oregon, United States Asante Full time

    Position Overview:Employment Type:0.| Full Time | Flexible Schedule DaysExternal applicants may qualify for a Recruitment Incentive and/or Relocation SupportAbout Asante:Asante is more than just a healthcare system in a remarkable location. We are a collective of dedicated professionals and service-oriented caregivers who work together to achieve outstanding...

  • CNA1 or CNA2 ATRMC

    2 weeks ago

    Grants Pass, United States Asante Health System Full time

    Additional Position Details: FTE: 0.300000 | On Call | Variable Schedule Days As a CNA at Asante, you will have the opportunity to earn the following shift differentials: * $1.21 extra per hour for hours worked between 3:00pm-11:00pm * $2.05 extra per hour for hours worked between 11:00pm-7:00am * $1.05 extra per hour for hours worked on weekend...

  • CNA1 or CNA2 ATRMC

    2 weeks ago

    Grants Pass, United States Asante Health System Full time

    Additional Position Details: FTE: 0.600000 | Part Time | Variable Schedule Nights As a CNA at Asante, you will have the opportunity to earn the following shift differentials: * $1.21 extra per hour for hours worked between 3:00pm-11:00pm * $2.05 extra per hour for hours worked between 11:00pm-7:00am * $1.05 extra per hour for hours worked on weekend...

  • CNA1 or CNA2 ATRMC

    3 months ago

    Grants Pass, United States Asante Full time

    :Additional Position Details: FTE: 0.000001 | On Call | Variable Hours/Variable DaysAs a CNA at Asante, you will have the opportunity to earn the following shift differentials:$1.21 extra per hour for hours worked between 3:00pm-11:00pm$2.05 extra per hour for hours worked between 11:00pm-7:00am$1.05 extra per hour for hours worked on weekend shiftsFor this...

  • CNA1 or CNA2 ATRMC

    2 weeks ago

    Grants Pass, United States Asante Full time

    Additional Position Details: FTE: 0.300000 | On Call | Variable Schedule DaysAs a CNA at Asante, you will have the opportunity to earn the following shift differentials:$1.21 extra per hour for hours worked between 3:00pm-11:00pm$2.05 extra per hour for hours worked between 11:00pm-7:00am$1.05 extra per hour for hours worked on weekend shiftsFor this role,...

  • CNA1 or CNA2 ATRMC

    3 months ago

    Grants Pass, United States Asante Full time

    As a CNA at Asante, you will have the opportunity to earn the following shift differentials: $1.21 extra per hour for hours worked between 3:00pm-11:00pm$2.05 extra per hour for hours worked between 11:00pm-7:00am$1.05 extra per hour for hours worked on weekend shiftsFor this role, candidates at either the CNA-2 or the CNA-1 level will be considered CNA-2:...

  • Certified Nursing Assistant 2 ATRMC

    2 weeks ago

    Grants Pass, United States Asante Health System Full time

    Additional Position Details: FTE: 1.000000 | Full Time | Variable Schedule Days For the Asante Outpatient Center, the schedule would be day shifts/Monday - Friday with no weekends or major holidays. The Asante Outpatient Center is a state-of-the-art clinic designed to consolidate specialty services. This environmentally sustainable facility includes...

  • Certified Nursing Assistant 2 ATRMC

    2 weeks ago

    Grants Pass, United States Asante Health System Full time

    Additional Position Details: FTE: 0.900000 | Full Time | Variable Hours/Variable Days As a CNA2 at Asante, you will have the opportunity to earn the following shift differentials: * $1.21 extra per hour for hours worked between 3:00pm-11:00pm * $2.05 extra per hour for hours worked between 11:00pm-7:00am * $1.05 extra per hour for hours worked on weekend...