RN, Utilization Management

UF Health • Gainesville, FL

7d

About The Position

Assists the hospital healthcare team in maintaining quality efficient patient centered care. Serves as a resource to physicians; conducts admission and concurrent reviews; identifies patients who do not meet criteria and takes action to ensure the patient is placed in the most appropriate alternative level of care and determines the correct admission status and level of care for those patients who meet hospital admission criteria (ambulatory surgery, observation, and inpatient).

Requirements

• Registered nurse (RN) with current Florida license with three (3) years critical care nursing experience, five (5) years medical-surgical nursing experience or three (3) years utilization/case management or 3rd party payer work experience.
• Ability to adjust priorities quickly.
• Ability to organize multiple tasks simultaneously.
• Ability to work independently.
• Ability to work interdependently with many levels of staff.
• Attention to detail.
• Excellent organizational, interpersonal and communication skills.
• Innovative problem solving skills.
• Scheduled work hours and days may vary depending upon departmental needs determined by department director/manager.
• Registered Nurse (RN) with current Florida License

Responsibilities

• Assists the hospital healthcare team in maintaining quality efficient patient centered care.
• Serves as a resource to physicians
• Conducts admission and concurrent reviews
• Identifies patients who do not meet criteria and takes action to ensure the patient is placed in the most appropriate alternative level of care
• Determines the correct admission status and level of care for those patients who meet hospital admission criteria (ambulatory surgery, observation, and inpatient).

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees