Per Diem Utilization Review RN - Case Management

Universal Health Services; Sparks (NV); On-site; USD 65,000 - 93,000; Full time

Job summary

Northern Nevada Medical Center, part of Universal Health Services, is seeking a Utilization Review Nurse (RN) on a Per Diem basis for the Case Management Unit in Sparks, NV. The role focuses on utilization management during hospitalization and across the continuum of care, with weekend and holiday availability.

The RN will review admissions and stays, coordinate with providers, and ensure efficient and appropriate patient care planning within a hospital setting.

Qualifications

• Graduate of an accredited or NLN approved RN program.
• Current license as a RN in the State of Nevada required.
• Two years of clinical experience in an acute care hospital setting with one 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.

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.

Skills

Leadership

Communication

Interpersonal skills

RN license required

Education

Graduate of accredited RN program

Job description

Northern Nevada Medical Center, part of Universal Health Services, is seeking a Utilization Review Nurse (RN) on a Per Diem basis for the Case Management Unit in Sparks, NV. The role focuses on utilization management during hospitalization and across the continuum of care, with weekend and holiday availability.

The RN will review admissions and stays, coordinate with providers, and ensure efficient and appropriate patient care planning within a hospital setting.