Nursing Utilization Review Coordinator

2 weeks ago


Athens, Georgia, United States St. Mary's Health Care System Full time
Job Summary

We are seeking a skilled Nursing Utilization Review Coordinator to join our team at St. Mary's Health Care System. As a key member of our healthcare team, you will play a critical role in ensuring the efficient and effective use of resources.

Key Responsibilities
  • Conduct thorough biopsychosocial assessments of patients to identify their health care needs and develop effective care plans.
  • Collaborate with healthcare professionals to implement utilization review processes and ensure timely transitions of patients to post-hospital settings.
  • Communicate with external agencies and payer sources to facilitate smooth transitions and ensure proper identification of principal and secondary diagnoses.
  • Develop and maintain knowledge of system and community resources, as well as referral agencies, to provide patients with optimal care.
  • Provide excellent communication and interpersonal skills to ensure effective collaboration with patients, families, and healthcare teams.
Requirements
  • Current GA RN license
  • BLS certification required within initial 90 days of employment
  • Minimum 2 years' experience in nursing, preferably in a hospital setting
  • Minimum 1 year experience in case management, utilization management, or discharge planning
  • Excellent communication, interpersonal, and critical thinking skills
About Us

St. Mary's Health Care System is a not-for-profit, Catholic healthcare system committed to providing high-quality, patient-centered care. We value diversity, equity, and inclusion and strive to create a workplace that is welcoming and inclusive for all employees.



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