UTILIZATION REVIEW NURSE (RN), Case Management - Per Diem

UHS • Sparks, NV

1d • Onsite

About The Position

This Utilization Review Nurse (RN) is Per Diem on our Case Management Unit and offers a convenient schedule. The Northern Nevada Health System is seeking a Utilization Review Nurse (RN) who will be responsible for carrying out utilization management functions by planning, coordinating, and managing patient needs during hospitalization and throughout the continuum of care. Must be available to work weekends and holidays.

Requirements

• Graduate of an accredited or NLN approved RN program.
• Current license as a RN in the State of Nevada required.
• Two (2) years of clinical experience in an acute care hospital setting with (1) year in an inpatient or outpatient case management setting required.
• Demonstrates compliance with hospital policies and procedures at all times.
• Demonstrates strong leadership, organization, communication and interpersonal skills.

Responsibilities

• Conducts admission and continued stay reviews per guidelines to ensure medical necessity of level of care and hospitalization for multiple entities.
• Reviews medical record for presence of accurate placement orders reconciles variances with patient providers.
• Works collaboratively with attending providers, specialty providers, and physician advisors to ensure application of evidence-based guidelines for determining appropriate status.
• Collaborate with Patient Access team to ensure correct payer source for hospitalization and communication.

What This Job Offers

• Career Level: Mid Level
• Education Level: Associate degree