RN, Utilization Management
Rochester, New York
Employer: University of Rochester
Industry: Nursing-RN
Salary: $69326 - $90126 per year
Job type: Full-Time
Opening
Full Time 40 hours Range URCB 213 Utilization Management
Schedule
8 AM-4:30 PM; WKNDS AS NEEDED
Responsibilities
General Description:
The Utilization Management Nurse role is a unique and exciting opportunity that blends the knowledge of nursing and the business aspects of the healthcare system. The position spans the entire healthcare system working collaboratively with Health Information Management, Financial Counselors, Patient Financial Services, Physicians, Social Work, patients, and various insurance companies. The UM RN is responsible for the review of clinical documentation utilizing evidence-based criteria to support medical necessity and appropriate level of patient care for services provided. The UM RN is also responsible for reviewing outcome trends and patterns to identify educational opportunities and performance improvement processes across the healthcare continuum. In addition, the UM RN is responsible for auditing the quality of clinical documentation and providing education based on findings. The role requires strong communication skills and critical thinking skills. Primarily Monday through Friday with occasional off-shift and weekend commitments depending on the needs of the department. The majority of work is remote with some on-site requirements as needed.
Qualifications:
How To Apply
All applicants must apply online.
EOE Minorities/Females/Protected Veterans/Disabled
Pay Range
Pay Range: $69,326 - $90,126 Annually
The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
Full Time 40 hours Range URCB 213 Utilization Management
Schedule
8 AM-4:30 PM; WKNDS AS NEEDED
Responsibilities
General Description:
The Utilization Management Nurse role is a unique and exciting opportunity that blends the knowledge of nursing and the business aspects of the healthcare system. The position spans the entire healthcare system working collaboratively with Health Information Management, Financial Counselors, Patient Financial Services, Physicians, Social Work, patients, and various insurance companies. The UM RN is responsible for the review of clinical documentation utilizing evidence-based criteria to support medical necessity and appropriate level of patient care for services provided. The UM RN is also responsible for reviewing outcome trends and patterns to identify educational opportunities and performance improvement processes across the healthcare continuum. In addition, the UM RN is responsible for auditing the quality of clinical documentation and providing education based on findings. The role requires strong communication skills and critical thinking skills. Primarily Monday through Friday with occasional off-shift and weekend commitments depending on the needs of the department. The majority of work is remote with some on-site requirements as needed.
Qualifications:
- Associate's degree in Nursing (ASN) required;
- Bachelor's degree in Nursing (BSN) preferred. 3-5 years of acute hospital experience required or equivalent combination of health care experience.
- Utilization Management experience preferred.
- Experience with databases such as Interqual, Sharepoint, eRecord, ePARC, Cobius preferred.
- NYS RN license required.
How To Apply
All applicants must apply online.
EOE Minorities/Females/Protected Veterans/Disabled
Pay Range
Pay Range: $69,326 - $90,126 Annually
The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
Created: 2024-08-22
Reference: 254647
Country: United States
State: New York
City: Rochester
ZIP: 14608
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