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 - Nights at Norman Regional Health System summary:

The Utilization Review RN is responsible for ensuring compliance in the hospital admission process, focusing on areas such as clinical analysis, resource management, and denial prevention. This role requires a background in nursing with at least three years of acute experience and involves collaboration with various departments to optimize patient care. Key tasks include conducting utilization reviews, managing transitions, and educating staff while adhering to established metrics.

Keywords:

Utilization Review, Registered Nurse, Clinical Management, Healthcare Compliance, Patient Advocacy, Resource Management, Healthcare Administration, Transition Management, Medical Necessity, Denial Prevention

  • Utilization Review RN

    2 weeks ago

    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...

  • Utilization Review RN

    2 weeks ago

    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...

  • Utilization Review RN

    2 weeks ago

    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 EducationClinical Analysis and Data ManagementClinical 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...

  • 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

    Dibble, 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...

  • Norman Regional Health System | Utilization Review RN

    2 weeks ago

    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 EducationClinical Analysis and Data ManagementClinical Care...

  • Utilization Review RN

    2 weeks ago

    Edmond, 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

    Bethany, 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

    Blanchard, 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

    Wellston, 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

    Arcadia, 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

    Norman, 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

    Guthrie, 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

    Washington, 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

    Newalla, 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

    Yukon, 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

    Tuttle, 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

    Noble, 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

    Newcastle, 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...