RN Utilization Manager

3 weeks ago


Chapel Hill, North Carolina, United States UNC Health Full time
Job Summary

We are seeking a highly skilled RN Utilization Manager to join our team at UNC Health. As a key member of our Clinical Care Management team, you will play a critical role in ensuring the quality, efficiency, and effectiveness of patient care.

Key Responsibilities
  • Conduct admission reviews and continued stay reviews to ensure appropriateness of setting and timely implementation of the plan of care.
  • Partner with physicians, nursing, and other care providers to ensure timely and accurate documentation of patient data and treatments.
  • Communicate daily with the Case Manager to manage level of care transitions and appropriate utilization of services.
  • Identify patient/families with complex psychosocial, on-going medical discharge planning issues, continuing care needs, and initiate appropriate case management referrals.
  • Perform utilization management assessments and interventions to ensure optimal patient outcomes.
Requirements
  • Graduation from a state-accredited school of professional nursing.
  • Licensed to practice as a Registered Nurse in the state of North Carolina.
  • Two (2) years of clinical experience in a medical facility and/or comparable Utilization Management experience.
What We Offer

UNC Health offers a competitive salary range of $34.65 - $49.81 per hour, with opportunities for career growth and professional development. We are an inclusive organization with over 40,000 teammates, committed to improving the health and well-being of the unique communities we serve.



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