Utilization Review/Case Manager RN

Unit Highlights

Facilitates patient care by determining and reviewing ongoing medical criteria standards and benchmarks. Facilitates and effective transition for patients and their families. Coordinates patient's transition in accordance with utilization review guidelines and admission criteria, through the appropriate services. Communicates and consults with clinical and utilization review staff, regarding patient progress and movement through system. Updates patient and family situations daily. Plans for patient's discharge, making all necessary arrangements, contacts and completes placement prior to discharge. Meets with families on individual bases to prepare for discharge. Acts as a liaison between patients/families and other health care providers, agencies and payers. Responsible for patient/family education as well as staff education. Provides extensive clinical support to families in crises. Provides education to patients/families for continuing care options.
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What We Offer
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• Culture- Collaborative, inclusive, diverse, and supportive work environment.
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• Career growth- Career mentoring to help you pursue your passions and gain skills to enhance your value.
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• Wellbeing- Competitive salary and Total Rewards benefits to help keep you happy and healthy.
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• Reputation- Regional & National recognition, advanced technology, and leading medical innovations.
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Qualifications
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• ADN, BSN, MSN, or CNL from an accredited School of Nursing required.
• 1-2 year's utilization review experience in acute medical inpatient setting
• Active MD RN License or Active Compact State RN required.