Utilization Review Specialist - Care Management (Full Time) - 8033

Marshall Health Network • Huntington, WV

4d

About The Position

St. Mary's Medical Center is seeking a Full Time Utilization Review Specialist
for our Care Management Department. The Utilization Review Manager exercises
independent judgement and professional discretion in the practice of case
management to patients. The URS collaborates with physicians to ensure that
patients are at the appropriate level of care with use of clinical based
guidelines such as InterQual/MCG. The URS monitors continuing stay to protect
solving skills to meet the needs of the patients and physicians while meeting
the contractual guidelines of our payers.

Requirements

• Graduate of an approved school of nursing; holds and maintains current Registered Nursing License for the state of West Virginia.
• Five years nursing experience. Minimum experience includes: patient care in the hospital setting, direct knowledge of care management, discharge planning and resource management.
• BLS required

Nice To Haves

• BSN, Master Degree preferred, not required.
• Certifications in Care Management preferred, not required.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed