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Utilization Review Nurse
4 weeks ago
We are seeking a skilled Utilization Review Nurse to join our team at Holy Cross Hospital in Fort Lauderdale, Florida. The successful candidate will have well-developed knowledge and skills in areas of utilization management, medical necessity, and patient status determination.
Key Responsibilities:
* Assess patient care plans and medical records to verify the necessity and effectiveness of treatments being proposed or provided.
* Review hospital admissions to ensure appropriate admission status in accordance with Indicia/InterQual criteria.
* Monitor case assignments for Managed Care Companies authorization of hospital stay.
* Provide clinical data as part of the telephonic or electronic review process to external parties to ensure continued stay authorizations.
Requirements:
* Graduate of an accredited school of professional nursing.
* Licensed RN in the State of Florida is required.
* Bachelor of Nursing is preferred.
Benefits:
* Comprehensive benefit packages available, including medical, dental, vision, paid time off, 403B, and education assistance.
* We serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.
* We live and breathe our guiding behaviors: we support each other in serving, we communicate openly, honestly, respectfully, and directly, we are fully present, we are all accountable, we trust and assume goodness in intentions.
Ministry/Facility Information:
* Holy Cross Hospital is a full-service, non-profit Catholic hospital, sponsored by the sisters of Mercy and a member of Trinity Health.
* We are committed to providing compassionate and holistic person-centered care.
* We are the only Catholic hospital in Broward and Palm Beach counties and are not for profit.
* We are part of Trinity Health, one of the largest multi-institutional Catholic health care delivery systems in the nation.
Equal Employment Opportunity:
* We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
Our Commitment to Diversity and Inclusion:
* Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation.
* Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do.
* Our colleagues have different lived experiences, customs, abilities, and talents.
* Together, we become our best selves.
* A diverse and inclusive workforce provides the most accessible and equitable care for those we serve.
* Trinity Health is an Equal Opportunity Employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.
