Utilization Review RN
Norman Regional Health System•Norman, OK
About The Position
The Utilization Review RN works in utilization review and management, advocacy and education, clinical analysis and data management, clinical care management and coordination, resource management, transition management and denial prevention, and psychosocial management. The role assists with establishing and reviewing departmental metrics annually or as needed to support NRHS’s mission, vision, and strategic plan.
Requirements
- Diploma or Associate’s degree (ADN) required.
- Three years of acute RN experience required.
- Current RN license in the state of Oklahoma.
- Basic Life Support (BLS) training or retraining is required and must be maintained for the duration of employment.
Nice To Haves
- Bachelor of Science in Nursing (BSN) or Master of Science in Nursing (MSN).
- Prior Utilization Review experience.
- Current knowledge of medical necessity guidelines for hospitalization status.
Responsibilities
- Perform utilization review and utilization management, advocacy, and education.
- Conduct clinical analysis and data management.
- Support clinical care management and coordination.
- Manage resources.
- Support transition management and denial prevention.
- Provide psychosocial management.
- Assist with establishing and reviewing departmental metrics annually or as needed to support NRHS’s mission, vision, and strategic plan.
Benefits
- Medical insurance
- Dental insurance
- Vision insurance
- Short-term disability
- Long-term disability
- Life insurance
- Paid time off (PTO)
- Paid holidays
- Tuition reimbursement
- Scholarship opportunities
- Retirement plans
- Free parking
- Opportunities for advancement
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Upload and Match Resume
What This Job Offers
Job Type
Part-time
Education Level
Associate degree
