Utilization Review RN; Utilization Review

Description

Additional Position Details:

FTE: 1.000000 |Full Time|1st Shift - Days | This position will work every Saturday and Sunday.

Salary Range:$50.82 - $69.89

Please Note:

This is a remote position. Candidates will be required to have reliable broadband internet and personal cell phone service. Remote work may include online training and working during Pacific Standard business hours.

Shift Differentials:

• $2.20/hour for working weekends.
  * Note this position will work every Saturday and Sunday as part of a set schedule.

The Utilization Review Nurse monitors utilization practices from preadmission to discharge to assure cost-effective, quality patient care and to ensure that patient, physician, and hospital/system receive maximum benefits from the health plan. Also ensures compliance with all regulatory requirements involved in the continuum of care. In this role, general responsibilities include:

• Receiving and disseminating information related to system, departmental, and patient processes
• Participating in data collection activities to support departmental programs and services
• Monitoring and reporting on patient outcomes and actively working with other members of the interdisciplinary team to facilitate improved delivery of cost-effective services
• Conducting utilization review, evaluating clinical information, and communicating findings to payors within the framework of contractual and government regulations
• Reviewing all admissions for appropriate inpatient vs. outpatient / observation status

• 2 recent years of progressive nursing experience in an acute care setting preferably within discharge, utilization and/or case management or equivalent combination of education and/or experience
• RN:
  Registered Nurse licensed by Oregon State Board of Nursing is required upon start

Preferred Qualifications

• Bachelor's degree in nursing
• CCM:
  Certified Case Manager
• ACM:
  Accredited Case Manager

We offer a comprehensive Total Rewards package designed to support your well-being and professional growth, including:

• Competitive Pay: Hourly and salaried positions earn market-based compensation.
• Health & Wellness: Medical, dental, and vision coverage for part-time and above employees and their eligible dependents beginning within 30 days of hire.
• Retirement Savings: Employer-sponsored retirement plan with company contribution and match.
• Paid Time Off: Generous ETO for part-time and above employees.
• Professional Development: Continue to enhance your education through our tuition reimbursement and tuition repayment program
• Additional Benefits: Life insurance, disability coverage, and employee assistance programs.

At Asante, we are guided by our values:

Excellence
- Respect
- Honesty
- Service
- Teamwork

Asante is proud to be an Equal Opportunity Employer. We are committed to creating a diverse and inclusive workplace and to employing and advancing qualified individuals of all backgrounds, including women, minorities, individuals with disabilities, and protected veterans.