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Utilization Management Nurse Leader

1 month ago


Rochester, New York, United States University of Rochester Full time

Join the University of Rochester's dynamic team as a Utilization Management Nurse Leader and take advantage of this unique opportunity to blend nursing expertise with business acumen. This role offers a chance to work across the entire healthcare system, collaborating with various departments and stakeholders to drive informed decision-making.

About the Role

The Utilization Management Nurse Leader will be responsible for reviewing clinical documentation, applying evidence-based criteria to support medical necessity and patient care levels. They will also analyze outcome trends and patterns to identify opportunities for education and performance improvement across the healthcare continuum.

This is an exciting opportunity for a skilled nurse leader who can balance critical thinking with strong communication skills. The majority of work will be remote, with occasional on-site requirements as needed. We are seeking a motivated individual who can thrive in a dynamic environment.

Responsibilities

  • Review clinical documentation and apply evidence-based criteria to support medical necessity and patient care levels
  • Analyze outcome trends and patterns to identify opportunities for education and performance improvement
  • Collaborate with various departments and stakeholders to drive informed decision-making

Requirements

  • RN with Utilization Review experience preferred; 3-5 years of recent acute hospital experience required

Benefits

The University of Rochester offers a comprehensive benefits package, including health insurance, retirement plans, and paid time off. As a member of our team, you will have access to professional development opportunities and a supportive work environment.

Compensation

The estimated salary for this role is $69,326 - $90,126 annually, based on location and experience. We offer a competitive compensation package that includes a range of benefits and perks.