RN Utilization Manager (PRN)

St. Tammany Health System • Covington, LA

9d • Onsite

About The Position

At St. Tammany Health System, delivering world-class healthcare close to home is our goal. That means we are committed to attracting and retaining the very best professionals for every position in our health system. We believe the pristine beauty of St. Tammany Parish adds to our attractive compensation package. The health system is nestled in the heart of Covington on the north shore of Lake Pontchartrain. It is a peaceful, scenic, community-oriented area with an abundance of amenities to suit every taste.

The Utilization Manager is responsible to assist in the development, planning, coordination, and administration of the activities of Utilization Management. Job responsibilities include but are not limited to the following: daily review of medical records to determine appropriateness and medical necessity of admission, continued stay, use of resources, and discharge readiness. Assumes responsibilities delegated by the Department Head.

Requirements

• Graduate of accredited school of Nursing and maintains current R.N. licensure by the Louisiana State Board of Nursing.
• Ability to demonstrate effective written and verbal communication skills.
• Possess emotional and professional maturity.
• Highly organized and efficient in establishing priorities and performing tasks within specific timeframes.
• Self-motivator requiring minimal supervision.
• Views problems as a challenge and investigates alternatives which demand creativity, flexibility and the ability to work under stress.
• Responsible for maintaining strict confidentiality of all verbal & written information and documents.
• Knowledgeable in the Utilization Management review process.

Nice To Haves

• Five years of hospital nursing experience.
• Experience in the field of Utilization Management activities.
• Basic understanding of CPT-ICD-9 coding principles and DRG management.

Responsibilities

• Daily review of medical records to determine appropriateness and medical necessity of admission, continued stay, use of resources, and discharge readiness.
• Assist in the development, planning, coordination, and administration of the activities of Utilization Management.
• Assume responsibilities delegated by the Department Head.

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level