Utilization REVIEW NURSE (RN), Case Management - Per Diem

Utilization Review Nurse (RN)

This Utilization Review Nurse (RN) is Per Diem on our Case Management Unit and offers a convenient schedule. The Northern Nevada Health System is seeking a Utilization Review Nurse (RN) who will be responsible for carrying out utilization management functions by planning, coordinating, and managing patient needs during hospitalization and throughout the continuum of care. Must be available to work weekends and holidays.

Job Duties/Responsibilities:

• Conducts admission and continued stay reviews per guidelines to ensure medical necessity of level of care and hospitalization for multiple entities.
• Reviews medical record for presence of accurate placement orders reconciles variances with patient providers.
• Works collaboratively with attending providers, specialty providers, and physician advisors to ensure application of evidence-based guidelines for determining appropriate status.
• Collaborate with Patient Access team to ensure correct payer source for hospitalization and communication.

Qualifications Requirements:

• Graduate of an accredited or NLN approved RN program.
• Current license as a RN in the State of Nevada required.
• Two (2) years of clinical experience in an acute care hospital setting with (1) year in an inpatient or outpatient case management setting required.
• Demonstrates compliance with hospital policies and procedures at all times.
• Demonstrates strong leadership, organization, communication and interpersonal skills.

EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.