Utilization Review Nurse

6 hours ago


Savannah, Georgia, United States Albany Medical Center Full time
Job Title: Utilization Review Nurse Job Summary: We are seeking a skilled Utilization Review Nurse to join our team at Albany Medical Center. As a Utilization Review Nurse, you will be responsible for reviewing patient admissions and continued stays to ensure that they are medically necessary and meet the criteria for coverage. You will work closely with the healthcare team to identify areas for improvement and develop strategies to optimize patient care and reduce costs. Responsibilities: * Conduct thorough reviews of patient admissions and continued stays to determine medical necessity and coverage criteria * Collaborate with the healthcare team to identify areas for improvement and develop strategies to optimize patient care and reduce costs * Develop and implement policies and procedures to ensure compliance with regulatory requirements * Provide education and training to healthcare staff on utilization review processes and procedures * Analyze data to identify trends and areas for improvement * Develop and implement quality improvement initiatives to improve patient outcomes and reduce costs Requirements: * Registered Nurse with a current license in New York State * Bachelor's degree in Nursing or related field * Minimum of three years of experience in utilization review or case management * Strong analytical and problem-solving skills * Excellent communication and interpersonal skills * Ability to work independently and as part of a team * Basic knowledge of computer systems and software Working Conditions: * Work is performed in a fast-paced environment with frequent interruptions * May require working overtime to meet deadlines * May require travel to other facilities or locations Albany Medical Center is an Equal Opportunity Employer. We are committed to diversity and inclusion in the workplace. We welcome applications from qualified candidates of all backgrounds. If you are interested in this opportunity, please submit your application through our website.

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