Utilization Review Nurse

Houston Healthcare • Warner Robins, GA

1d • Onsite

About The Position

The Utilization Reviewer performs concurrent, extended stay and retrospective reviews of admissions using established criteria to determine appropriateness of admission and extended stay. The Utilization Reviewer serves as a resource to medical and hospital staff on utilization and regulatory issues and participates in coordination of individualized patient care services. The Utilization Reviewer plays an integral role in discharge planning and maximizing the continuum of care for patients assigned to his/her assigned unit. The Utilization Reviewer has the unique ability to follow the patient from admission to discharge and provide the physician and nursing staff with the best possible options for post hospital care for the patient.

Requirements

• Graduate of an accredited School of Nursing.
• Three (3) years in an acute care setting.
• Current US state RN license with authorization to practice in the state of GA.
• Utilizes a variety of standard office equipment to include computer, printer, fax machine, copier, telephone etc.

Nice To Haves

• Basic knowledge of statistics encouraged.

Responsibilities

• Performs concurrent, extended stay and retrospective reviews of admissions using established criteria to determine appropriateness of admission and extended stay.
• Serves as a resource to medical and hospital staff on utilization and regulatory issues.
• Participates in coordination of individualized patient care services.
• Plays an integral role in discharge planning and maximizing the continuum of care for patients assigned to his/her assigned unit.
• Follows the patient from admission to discharge and provide the physician and nursing staff with the best possible options for post hospital care for the patient.

What This Job Offers

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