RN - Utilization Management Lead - Casual
About The Position
The Casual Utilization Management Lead will use the utilization review process and identify clinically acceptable, cost-effective treatment strategies by identifying appropriate levels of care and ensure appropriate resource usage in order to achieve maximum clinical and financial outcomes. Candidate must live in Nebraska or Iowa This is a hybrid position, must be able to work on campus rotating weekends 2 shifts per month Why Work at Nebraska Medicine? Together. Extraordinary. Join a team that values your skills, delivering exceptional care through collaboration. Leading Health Network Work with the region’s top academic health network, partnering with UNMC to transform lives through education, research, and patient care. Dignity and Respect: We value all backgrounds and experiences, reflecting the communities we serve. Educational Support Enjoy up to $5,000/year in tuition assistance, a 35% discount at Clarkson College, and career advancement opportunities with covered educational costs. Be part of something extraordinary at Nebraska Medicine! Nebraska Medicine is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, sex, age, national origin, disability, genetic information, sexual orientation, gender identity and protected veterans’ status. Nebraska Medicine includes two hospitals, the state's largest and highest rated Nebraska Medical Center and Bellevue Medical Center, along with more than 70 primary care and specialty clinics. Nebraska Medicine and our research and education partner, the University of Nebraska Medical Center (UNMC), share the same mission: to lead the world in transforming lives to create a healthy future for all individuals and communities through premier educational programs, innovative research and extraordinary patient care. Every colleague plays a key role in upholding our promise of “Serious Medicine, Extraordinary Care” to our patients and their families. Working with Nebraska Medicine means committing to meaningful, impactful work that will elevate the success of your fellow colleagues and will help our patients and their families feel comfortable, confident and cared for.
Requirements
- Minimum of five years recent clinical experience in a health care setting required.
- Bachelor’s degree in nursing (BSN) required.
- Knowledge of health care finance environment and reimbursement systems required.
- Effective critical thinking/analytical skills required.
- Effective communication skills, both written and verbal, required.
- Ability to establish relationships and work collaboratively with an interdisciplinary team and administration required.
- Currently licensed as a Registered Nurse in the state of Nebraska or current compact state license required.
- Basic Life Support (BLS) certification required, must be from an American Heart Association (AHA) endorsed program (effective for new hires starting January 1, 2023 or later).
Nice To Haves
- Master's of Science in Nursing (MSN) degree preferred.
- Experience with audiovisual equipment preferred.
- Experience with computer skills with Windows information systems/computer workstation preferred.
- Experience with telecommunication equipment and office equipment/supplies preferred.
Responsibilities
- use the utilization review process
- identify clinically acceptable, cost-effective treatment strategies by identifying appropriate levels of care
- ensure appropriate resource usage in order to achieve maximum clinical and financial outcomes
Benefits
- Educational Support Enjoy up to $5,000/year in tuition assistance
- a 35% discount at Clarkson College
- career advancement opportunities with covered educational costs
