Registered Nurse
2 weeks ago
The Utilization Review RN is accountable for a designated caseload and plans effectively to manage the length of stay, promote efficient utilization of resources and facilitate payer authorization. This role requires a skilled nurse to facilitate collaborative management of patient care, intervene as necessary to remove barriers to efficient care delivery, and apply process improvement methodologies in evaluating the outcomes of care coordination.
Key Responsibilities:
• Facilitate collaborative management of patient care
• Intervene as necessary to remove barriers to efficient care delivery
• Apply process improvement methodologies in evaluating the outcomes of care coordination
• Support and coach clinical documentation by staff and providers ensuring documentation reflects the severity of illness and intensity of service
Requirements:
• Minimum of five years acute care nursing experience
• One year of case management, discharge planning and/or utilization review experience
• Knowledge of performance improvement principles, tools and techniques
• Case Management certification (preferred)
• Prior travel experience (preferred)
• BSN (preferred)
Additional Requirements:
• Computer skills with demonstrated knowledge of Microsoft Office including Outlook and Excel
• Ability to work occasional weekends as needed and holiday rotation as needed
• No call requirements
Why Della Infotech:
Della Infotech is a leading healthcare provider committed to delivering high-quality patient care. We offer a dynamic work environment, competitive compensation, and opportunities for professional growth and development.
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