Norman Regional Health System | Utilization Review RN
5 days ago
The Utilization Review team is comprised of highly skilled Registered Nurses who ensure Norman Regional Health System follows a compliant review process to determine appropriateness of admission.
Responsibilities:- Utilization Review, Utilization Management, Advocacy and Education
- Clinical Analysis and Data Management
- Clinical Care Management/Coordination
- Resource Management
- Transition Management and Denial Prevention
- Utilization Management
- Psychosocial Management
- Assist with establishing and review of departmental metrics on annual basis or as needed to insure mission, vision and strategic plan of NRHS.
Education
- Diploma or Associate’s degree (ADN) required, Bachelor of Science in Nursing (BSN), or Master's of Science in Nursing (MSN) preferred.
Experience
- 3 years of acute RN experience required.
- Prior Utilization Review experience preferred.
- Current knowledge of medical necessity guidelines for hospitalization status preferred.
(Above requirements can be met by equivalent combination of education and experience)
Licensure/Certification
- Current, RN license in the state of Oklahoma, Basic Life Support (BLS) training or retraining is required and must be maintained for the duration of employment.
Compensation/Benefits
- $17.39-$28.40/hr depending on previous work experience.
- Benefits include medical, dental, vision, short-term disability, long-term disability, life insurance, paid time off (PTO), paid holidays, tuition reimbursement, scholarship opportunities, retirement plans, free parking, and opportunities for advancement.
Utilization Review RN - Nights at Norman Regional Health System summary:
The Utilization Review RN is responsible for ensuring compliance in hospital admissions at Norman Regional Health System through clinical analysis and resource management. This role includes clinical care coordination, denial prevention, and advocacy, supported by a thorough understanding of medical necessity guidelines. Candidates should possess at least three years of acute RN experience, and a current Oklahoma RN license is required.
Keywords:
Utilization Review, Registered Nurse, Clinical Analysis, Healthcare Compliance, Care Management, Denial Prevention, Oklahoma RN License, Utilization Management, Medical Necessity Guidelines, Patient Advocacy
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Utilization Review RN
4 days ago
Wellston, United States Norman Regional Health System Full timeOverview: The Utilization Review team is comprised of highly skilled Registered Nurses who ensure Norman Regional Health System follows a compliant review process to determine appropriateness of admission. Responsibilities: Utilization Review, Utilization Management, Advocacy and EducationClinical Analysis and Data ManagementClinical Care...
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Utilization Review RN
5 days ago
Wellston, OK, United States Norman Regional Health System Full timeOverview: The Utilization Review team is comprised of highly skilled Registered Nurses who ensure Norman Regional Health System follows a compliant review process to determine appropriateness of admission. Responsibilities: Utilization Review, Utilization Management, Advocacy and Education Clinical Analysis and Data Management Clinical Care...
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Utilization Review RN
5 days ago
Wellston, OK, United States Norman Regional Health System Full timeOverview: The Utilization Review team is comprised of highly skilled Registered Nurses who ensure Norman Regional Health System follows a compliant review process to determine appropriateness of admission. Responsibilities: Utilization Review, Utilization Management, Advocacy and EducationClinical Analysis and Data ManagementClinical Care...
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wellston, United States Norman Regional Health System Full timeOverview:Norman Regional Health System‘s Intermediate Care (IMC) staff cares for a wide variety of patients with complex medical conditions requiring intermediate or critical care. NRHS is an accredited primary stroke center and the Intermediate Care is our dedicated stroke unit for the health system. Our team is award winning (Women‘s Choice award and...
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Wellston, OK, United States Norman Regional Health System Full timeOverview: The Utilization Review team is comprised of highly skilled Registered Nurses who ensure Norman Regional Health System follows a compliant review process to determine appropriateness of admission. Responsibilities: Job Summary Utilization Review, Utilization Management, Advocacy and Education Clinical Analysis and Data Management Clinical Care...
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wellston, United States Norman Regional Health System Full timeOverview: Compensation / Benefits$27.84-$45.46/hr based on previous work experience.Flex differential $15/hr.Evening differential $2.50/hr.Night differential $3.00/hr.Weekend differential $3.00/hr.Benefits include medical, dental, vision, short-term disability, long-term disability, life insurance, paid time off (PTO), paid holidays, tuition reimbursement,...
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wellston, United States Norman Regional Health System Full timeOverview: Up to $5K Sign On BonusCompensation / Benefits$19.56-$31.94/hr. depending on previous work experience.Evening differential $2.00/hr.Night differential $2.50/hr.Weekend differential $2.50/hr.Sign On Bonus paid over 1 year.Benefits include medical, dental, vision, short-term disability, long-term disability, life insurance, paid time off (PTO), paid...
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