Utilization Review RN - Baylor Plan Weekends

Responsibilities

• Utilization Review, Utilization Management, Advocacy and Education
• Clinical Analysis and Data Management
• Clinical Care Management/Coordination
• Resource Management
• Transition Management and Denial Prevention
• Utilization Management
• Psychosocial Management
• Assist with establishing and review of departmental metrics on annual basis or as needed to insure mission, vision and strategic plan of NRHS.

Qualifications

Education

• Diploma or Associate’s degree (ADN) required, Bachelor of Science in Nursing (BSN), or Masters of Science in Nursing (MSN) preferred.

Experience

• 3 years of acute RN experience required.
• Prior Utilization Review experience preferred.
• Current knowledge of medical necessity guidelines for hospitalization status preferred.

Licensure/Certification/Registration/ETC.

• 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.

Compensation/Benefits

• $30.10-$49.17/hr depending on previous work experience.
• Benefits include medical, dental, vision, short-term disability, long-term disability, life insurance, paid time off (PTO), paid holidays, tuition reimbursement, scholarship opportunities, retirement plans, free parking, and opportunities for advancement.