Utilization Management RN SDH

FMOLHSJackson, MS
Onsite

About The Position

Under broad direction from the Centralized Utilization Management Manager, this role is responsible for the hospital-wide Utilization Management Programs in a general acute care hospital serving infant, pediatric, adolescent, young adult, adult, and geriatric patients. The incumbent is responsible for planning, developing, implementing, and monitoring these facility-wide programs. The role ensures cost-effective and quality patient care through the appropriate utilization of hospital resources. This position performs highly responsible professional nursing and administrative work in accordance with established standards, criteria, procedures, rules, regulations, and policies of the agency. The role actively communicates with department heads to ensure compliance with these standards.

Requirements

  • Professional nursing and administrative work experience.
  • Knowledge of established standards, criteria, procedures, rules, regulations, and policies of the agency.

Responsibilities

  • Planning, developing, implementing, and monitoring hospital-wide Utilization Management Programs.
  • Ensuring cost-effective and quality patient care by appropriate utilization of hospital resources.
  • Performing professional nursing and administrative work in accordance with established standards, criteria, procedures, rules, regulations, and policies.
  • Actively communicating with department heads to ensure compliance with standards.
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