Registered Nurse Utilization Review Specialist

2 weeks ago


New York, New York, United States VNS Health Full time
Job Title: Registered Nurse Utilization Review Specialist

VNS Health is seeking a skilled Registered Nurse to join our team as a Utilization Review Specialist. As a key member of our quality improvement team, you will play a critical role in ensuring the highest level of patient care and satisfaction.

Responsibilities:
  • Conduct thorough clinical assessments, including medication reconciliations and post-discharge transitions of care assessments.
  • Collaborate with healthcare teams to ensure compliance with regulatory requirements and industry benchmarks.
  • Lead improvement teams and projects to enhance patient outcomes, satisfaction, and cost-effectiveness.
  • Develop and implement quality improvement initiatives, including training programs and policy updates.
  • Conduct audits and provide guidance on medical record documentation standards.
Requirements:
  • Current registration to practice as a Registered Professional Nurse in New York State.
  • Minimum of three years quality improvement experience in a healthcare setting.
  • Excellent communication and interpersonal skills, including group facilitation.
  • Knowledge of performance improvement tools and methodologies.
About VNS Health:

VNS Health is a leading nonprofit home and community-based healthcare organization, dedicated to delivering compassionate care and unparalleled expertise to our patients and communities. We offer a comprehensive benefits package, including health insurance, retirement savings, and professional development opportunities.



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