Assistant Manager Utilization Review Registered Nurse /RN

Emory Healthcare•Atlanta, GA

9h•Onsite

About The Position

At Emory Healthcare, we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. This role involves supervising and coordinating activities of personnel in the Utilization Review Department, ensuring appropriate department coverage, equitable staff assignments, and timely completion of tasks. The Assistant Manager will provide staff support, oversee workflows, assist with education and new process implementation, and contribute to staff performance evaluations and hiring processes. The role also includes conducting monthly quality audits, facilitating communication between departments, and representing Utilization Review in interdisciplinary meetings. A key aspect is understanding and contributing to the achievement of departmental and organizational key performance indicators, while fostering a positive team culture. The position may also involve taking on assignments when necessary and performing other assigned duties.

Requirements

Must have a valid, active unencumbered Registered Nurse license or temporary permit approved by the Georgia Licensing Board.
Bachelor's degree in nursing required
At least 3 years of experience in Utilization Review required.
At least 3 years of healthcare experience required.
Demonstrates leadership abilities.

Nice To Haves

Master's degree in nursing or related healthcare field preferred.
Case Management certification (CCM or ACM) preferred.
Leadership experience preferred.
Proven ability to coach, mentor, and lead.

Responsibilities

Under the direction of the Utilization Review Manager, supervises and coordinates activities of personnel in the Utilization Review Department, including staff schedules to ensure appropriate department coverage, equitable daily staff assignments, and timely completion of assignments.
Provides staff support by overseeing workflows/processes, ensuring job responsibilities and delegated duties are understood.
Assist with staff education and implementing new processes/workflows.
Assist with staff performance evaluations, creating performance competencies and goals, developing guidance and training for improvement, and maintaining employee personal records.
Assist in the hiring process, including development, evaluation and training of new employees as needed.
Will assist with monthly staff quality audits to ensure compliance of Emory Healthcares Utilization Review Plan, regulatory guidelines, and department policies and procedures.
Will assist with communication between the Hospitals Case Management Department and Utilization Review Department.
Provides effective and efficient proactive communication to internal and external customers.
Assists with representing the Utilization Review Department by participating in interdisciplinary care rounds, complex care rounds or other committees to improve interdepartmental communication and hospital efficiency.
Will assist in collaborative efforts with the Case Management Department, Revenue Cycle, Physician Advisors and other departments.
Will understand the Utilization Review Departments and organizations key performance indicators and assist in meeting goals.
Builds, maintains and supports a team culture that fosters effective working relationships within a safe working environment.
Will take an assignment when warranted.
Will perform other duties and tasks as assigned.