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Utilization Review Nurse

2 months ago


Medford, Oregon, United States Asante Full time
Job Summary

We are seeking a skilled Utilization Review Nurse to join our team at Asante. As a Utilization Review Nurse, you will play a critical role in ensuring that our patients receive the most effective and efficient care possible.

Key Responsibilities
  • Monitor and analyze patient data to identify opportunities for cost savings and quality improvement
  • Collaborate with healthcare providers to develop and implement care plans that meet the needs of our patients
  • Conduct thorough reviews of patient admissions to ensure that they are receiving the most appropriate level of care
  • Communicate with payors and other stakeholders to ensure that our patients receive the benefits they are entitled to
  • Participate in data collection and analysis to support departmental programs and services
Requirements
  • Bachelor's degree in Nursing or at least 2 years of experience in utilization/case management
  • RN licensure in Oregon
  • Preferred certifications: CCM, CPHM
About Asante

Asante is a local, community-owned and governed not-for-profit organization that provides comprehensive healthcare services to over 550,000 people in Southern Oregon and Northern California. We are committed to delivering exceptional patient care and are seeking talented individuals to join our team.

We value excellence, respect, honesty, service, and teamwork, and are an equal opportunity employer.