Utilization Review Nurse
About The Position
The Utilization Review Nurse plays a crucial role in coordinating patient care and ensuring appropriate resource utilization. Their primary responsibilities include facilitating effective communication regarding patient care plans and securing authorization numbers/certification for each patient's approved length of stay. They work in close collaboration with physicians and other members of the healthcare team to optimize patient outcomes by ensuring access to the right treatment utilizing available hospital resources in the most cost-effective manner. The Utilization Review Nurse also actively monitors changes in the patient's condition, assessing treatment efficacy and proactively communicating updates to the payer organization.
Requirements
- Registered Nurse with Bachelors degree or diploma/associates degree
- A current unencumbered RN license to practice in the state of Arkansas
- Minimum of three years in acute care hospital
Nice To Haves
- Experience in Psych, discharge planning or utilization management role
Responsibilities
- Facilitate effective communication regarding patient care plans.
- Secure authorization numbers/certification for each patient's approved length of stay.
- Collaborate with physicians and other members of the healthcare team to optimize patient outcomes.
- Ensure access to the right treatment utilizing available hospital resources in the most cost-effective manner.
- Monitor changes in the patient's condition.
- Assess treatment efficacy.
- Proactively communicate updates to the payer organization.
Benefits
- Benefits that complement and support your work/life balance
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
