Utilization Review RN ARRMC (Utilization Review)

Asante Health System • Medford, OR

71d • $49 - $67 • Remote

About The Position

The Utilization Review Nurse monitors utilization practices from preadmission to discharge to assure cost-effective utilization of resources, quality patient care, and compliance with regulatory requirements. This role is responsible for reviewing the medical record to ensure documentation demonstrates medical necessity according to regulatory guidelines. The Utilization Review RN will actively manage and communicate with key members of the care team to secure accurate documentation and admission status.

Requirements

• 2 years of recent progressive nursing experience in an acute care setting, preferably within discharge, utilization, and/or case management, or equivalent combination of education and/or experience is required.
• RN: Registered Nurse licensed by the Oregon State Board of Nursing is required upon start.

Nice To Haves

• Bachelor's degree in nursing
• CCM: Certified Case Manager
• ACM: Accredited Case Manager

Responsibilities

• Monitor utilization practices from preadmission to discharge.
• Ensure cost-effective utilization of resources and quality patient care.
• Review medical records for documentation of medical necessity according to regulatory guidelines.
• Communicate with key members of the care team to secure accurate documentation and admission status.

Benefits

• Earn a competitive and progressive salary
• Benefit from health plans that are focused on health and wellness including medical, dental, vision and wellness beginning within 30 days of hire
• Plan for your future with a retirement package that includes up to 6% employer contribution
• Experience a healthy work-life balance with our generous earned time off (ETO)
• Continue to enhance your education through our tuition reimbursement and tuition repayment plans

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Hospitals
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees