Utilization Review Nurse

3 weeks ago


Lake Oswego, United States Providence RN Full time
About the Role

The RN Coordinator-Utilization Review plays a vital role in supporting the care of patients through assessment, planning, implementation, and evaluation of appropriate services and resources to maximize optimal outcomes.

This position collaborates with multiple disciplines, both internal and external to the organization, to effect quality and cost-effective management of patient care along the continuum.

Responsibilities
  • Assess patient needs and develop plans to ensure optimal care and outcomes
  • Collaborate with healthcare teams to coordinate patient care and services
  • Identify and address potential barriers to care and develop strategies to overcome them
  • Monitor and evaluate patient outcomes to ensure quality and cost-effectiveness of care
Requirements
  • Bachelor's Degree in Nursing or Associate's Degree with 2+ years of related experience
  • Oregon Registered Nurse License upon hire
  • 5 years of clinical experience in an acute adult medical/surgical care setting or current Utilization Review or Case Management experience
Why Providence?

Providence offers a comprehensive benefits package, including a retirement 401(k) Savings Plan with employer matching, health care benefits, life insurance, disability insurance, time off benefits, and more.

Our award-winning medical centers provide outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics, and neonatal intensive care.

About Providence

Providence is a not-for-profit network of healthcare organizations dedicated to providing high-quality, patient-centered care to our communities.

We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment.



  • Lake Oswego, United States Providence RN Full time

    Job SummaryThe RN Coordinator-Utilization Review supports the care of the patient through assessment, planning, implementation, and evaluation of appropriate services and resources to maximize optimum outcomes.This position works collaboratively with multiple disciplines, both internal and external to the organization, in effecting quality and cost-effective...


  • Lake Oswego, United States Providence RN Full time

    About the RoleThe RN Coordinator-Utilization Review plays a vital role in supporting the care of patients through assessment, planning, implementation, and evaluation of appropriate services and resources to maximize optimal outcomes.This position collaborates with multiple disciplines, both internal and external to the organization, to effect quality and...


  • round lake, United States Albany Medical Center Full time

    Round Lake, NY, United States Department/Unit: Care Management/Social WorkWork Shift: Day (United States of America)Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients.Salary: $65,062.40 -$107,348.80• Completes Utilization Management and Quality Screening for assigned patients. • Applies MCG criteria to...


  • sand lake, United States Albany Medical Center Full time

    West Sand Lake, NY, United States Department/Unit: Care Management/Social WorkWork Shift: Day (United States of America)Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients.Salary: $65,062.40 -$107,348.80• Completes Utilization Management and Quality Screening for assigned patients. • Applies MCG criteria...


  • Sand Lake, United States Albany Medical Center Full time

    West Sand Lake, NY, United States Department/Unit: Care Management/Social Work Work Shift: Day (United States of America) Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients. Salary: $65,062.40 -$107,348.80• Completes Utilization Management and Quality Screening for assigned patients. • Applies MCG...


  • Round Lake, United States Albany Medical Center Full time

    Round Lake, NY, United States Department/Unit: Care Management/Social Work Work Shift: Day (United States of America) Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients. Salary: $65,062.40 -$107,348.80• Completes Utilization Management and Quality Screening for assigned patients. • Applies MCG criteria...


  • Lake Forest, California, United States Northwestern Memorial Healthcare Full time

    Job SummaryWe are seeking a highly skilled Clinical Utilization Review Nurse to join our team at Northwestern Memorial Healthcare. As a key member of our healthcare team, you will play a critical role in ensuring the efficient and effective delivery of patient care.ResponsibilitiesDetermine the most appropriate level of care and admission status for...


  • Round Lake, New York, United States Albany Medical Center Full time

    Job Title: Utilization Review NurseAlbany Medical Center is seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will play a critical role in ensuring that patients receive the most appropriate care while minimizing unnecessary costs.Key Responsibilities:Conduct thorough reviews of patient records to identify areas...


  • West Sand Lake, New York, United States Albany Medical Center Full time

    Job SummaryAlbany Medical Center is seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will play a critical role in ensuring the efficient and effective use of healthcare resources.Key ResponsibilitiesConduct thorough reviews of patient records to identify opportunities for cost savings and quality...


  • West Sand Lake, New York, United States Albany Medical Center Full time

    Job SummaryWe are seeking a skilled Utilization Review Nurse to join our team at Albany Medical Center. As a Utilization Review Nurse, you will play a critical role in ensuring the quality and appropriateness of patient care, while also promoting efficient use of healthcare resources.Key ResponsibilitiesConduct thorough reviews of patient records to identify...


  • Sand Lake, NY, United States Albany Medical Center Full time

    West Sand Lake, NY, United States Department/Unit: Care Management/Social Work Work Shift: Day (United States of America) Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients. Salary: $65,062.40 -$107,348.80• Completes Utilization Management and Quality Screening for assigned patients. • Applies MCG...


  • Round Lake, New York, United States Albany Medical Center Full time

    Job SummaryWe are seeking a skilled Utilization Review Nurse to join our Care Management team at Albany Medical Center. As a key member of our team, you will be responsible for ensuring the efficient and effective use of healthcare resources while maintaining high-quality patient care.Key ResponsibilitiesConduct thorough utilization reviews to identify...


  • Sand Lake, United States Albany Medical Center Full time

    Job SummaryWe are seeking a skilled Utilization Review Nurse to join our team at Albany Medical Center. As a key member of our Care Management/Social Work department, you will play a critical role in ensuring the highest quality patient care while optimizing resource utilization.Key ResponsibilitiesConduct thorough utilization reviews to identify...


  • Round Lake, New York, United States Albany Medical Center Full time

    Job SummaryWe are seeking a skilled Clinical Utilization Review Specialist to join our team at Albany Medical Center. As a key member of our Care Management/Social Work department, you will play a critical role in ensuring the highest quality patient care while optimizing resource utilization.Key ResponsibilitiesConduct thorough utilization reviews to ensure...


  • Salt Lake, Utah, United States Salt Lake City Full time

    Job Title: Utilities Development Review SpecialistReporting to the Utilities Development Review Coordinator, this role assists with the development, recording, and maintenance of developer-initiated water, sanitary sewer, and storm drainage extension and service connection agreements. The incumbent will also assist with the management of related construction...


  • Salt Lake City, United States Salt Lake City Full time

    Position Title:Utilities Development Review SpecialistJob Description:Reporting to Utilities Development Review Coordinator, incumbent assists with the development, recording and maintaining of all developer-initiated water, sanitary sewer and storm drainage extension and service connection agreements; assists with the management of all related construction...

  • RN Utility Nurse

    2 weeks ago


    Oswego, New York, United States Oswego Health Full time

    Job Title: RN Utility NurseJob Summary:The RN Utility Nurse is a key member of our nursing team, responsible for providing high-quality patient care and ensuring the efficient operation of our nursing department. This role requires a strong clinical background, excellent communication skills, and the ability to work effectively in a fast-paced...

  • RN Utility Nurse

    2 weeks ago


    Oswego, United States Oswego Health Full time

    $15,000 Sign on BonusJob Title: RNUtility Nurse Department: Nursing Reports to: Director of Nursing - Seneca Hill Manor Revision Date: 08/09/2024 Status: Non-Exempt Job Summary: The RN Utility Nurse is responsible for the quality and efficiency of nursing services and care including nursing supervision, medication pass, treatments, assessments, admission,...


  • Lake Forest, Illinois, United States Northwestern Memorial Healthcare Full time

    Job SummaryWe are seeking a skilled Case Manager RN-Utilization Review to join our team at Northwestern Memorial Healthcare. This full-time salaried position is located at Lake Forest Hospital and requires a strong background in patient care and utilization review.Key ResponsibilitiesDetermine the most appropriate level of care and admission status for...

  • Clinical Review Nurse

    2 weeks ago


    Lake Mary, United States TurningPoint Healthcare Solutions Full time

    TurningPoint Healthcare Solutions is a rapidly growing and innovative healthcare company that supports several large national health plans to improve the quality and affordability of healthcare patients receive. We are looking for motivated individuals who want to be part of our mission and join our team! As a Utilization Review Nurse, you will utilize your...