Hybrid UM RN - Optimize Admissions & Care

Unknown Company; Robbinsdale (MN); Hybrid; USD 55,000 - 83,000; Full time

Benefits offered by this job

Health insurance

Job summary

North Memorial Health in Robbinsdale, MN is seeking an Utilization Management Registered Nurse. Under the supervision of the Utilization Management Manager, you will assess medical necessity for admitted patients and support care coordination with the medical staff to ensure appropriate admissions and discharge planning.

The role requires RN licensure in MN, 3–5 years acute care and 1 year direct case management, with strong communication and teamwork skills.

Qualifications

• Bachelor's Degree in nursing required.
• Current RN licensure in MN.
• 3–5 years of acute care nursing experience.
• 1 year of direct case management experience.
• Knowledge of Medicare rules and regulations.
• Strong communication and teamwork skills.

Responsibilities

• Assess the documented medical necessity of bedded patients to support admission status.
• Provide clinically based information to assist care coordination and discharge planning.
• Collaborate with nursing, social services, therapies, and ancillary departments to ensure correct care level across the continuum.
• Support quality clinical outcomes and resource management related to admissions and LOS.

Skills

Communication skills

Conflict management

Team collaboration

Education

Bachelor's Degree in Nursing

Job description

North Memorial Health in Robbinsdale, MN is seeking an Utilization Management Registered Nurse. Under the supervision of the Utilization Management Manager, you will assess medical necessity for admitted patients and support care coordination with the medical staff to ensure appropriate admissions and discharge planning.

The role requires RN licensure in MN, 3–5 years acute care and 1 year direct case management, with strong communication and teamwork skills.