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St. Mary's Health Care is seeking a skilled RN Utilization Review Coordinator to join our team. As a key member of our clinical operations team, you will play a critical role in ensuring the efficient and effective delivery of patient care.
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 the most cost-effective use of resources.
- Communicate with external agencies and payers to facilitate smooth transitions from hospital to post-hospital settings.
- Identify and initiate discharge planning to ensure timely transitions of patients to post-hospital settings.
- Assure proper identification of principal and secondary diagnoses in collaboration with treating physicians.
- Current GA RN license
- BLS certification required within initial 90 days of employment
- Graduate of an accredited school of nursing
- 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
This is a full-time position with a day shift schedule. The ideal candidate will be able to work independently with indirect and periodic supervision.