Hybrid PRN RN - Utilization Review & Care Coordination

Baylor Scott & White Health; Irving (TX); Hybride; USD 55 000 - 83 000; Temps partiel

Avantages offerts par ce poste

Health benefits

401(k) match

Tuition Reimbursement

PTO accrual

Résumé du poste

Baylor Scott & White Health is seeking an experienced RN for a hybrid PRN Utilization Review role in Texas. You will perform prospective, concurrent, and retrospective reviews to determine medical necessity and appropriate level of care, collaborating with care teams and physicians.

Ideal candidates have 3+ years in nursing with hospital-based UR experience, strong clinical judgment, and the ability to work in a hybrid environment, delivering timely documentation and effective care coordination.

Qualifications

• Associate degree in Nursing required; BSN preferred.
• Current, unrestricted RN license.
• Minimum of three (3) years of professional nursing experience.
• Prior hospital-based utilization review experience required.
• Experience with prospective, concurrent, and/or retrospective utilization review preferred.
• Must be available to work at least two (2) 8-hour shifts per month in this PRN role.
• Ability to work effectively in a hybrid environment.

Responsabilités

• Conduct prospective, concurrent, and retrospective utilization reviews to determine medical necessity and appropriate level of care.
• Review patient clinical information to support utilization and care delivery.
• Collaborate with physicians, care management teams, health plans, and other stakeholders to resolve issues.
• Ensure required clinical documentation is complete, accurate, and submitted timely.
• Support discharge planning and care coordination through utilization review practices.
• Participate in evaluation and implementation of utilization management processes and procedures.

Connaissances

Utilization review

Clinical judgment

Care coordination

Communication skills

Hybrid work

Formation

Associate degree in Nursing

BSN preferred

Description du poste

Baylor Scott & White Health is seeking an experienced RN for a hybrid PRN Utilization Review role in Texas. You will perform prospective, concurrent, and retrospective reviews to determine medical necessity and appropriate level of care, collaborating with care teams and physicians.

Ideal candidates have 3+ years in nursing with hospital-based UR experience, strong clinical judgment, and the ability to work in a hybrid environment, delivering timely documentation and effective care coordination.