Registered Nurse (RN) - Utilization Review - PRN

Norman Regional; Norman (OK); On-site; USD 41,000 - 68,000; Full time

Job summary

Norman Regional is seeking an RN for Utilization Review/Management, Advocacy and Education, clinical analysis and data management, and care coordination to support the department's mission and patient outcomes.

The role requires an Oklahoma RN license, BLS, 3 years of acute RN experience, and preferred Utilization Review experience with knowledge of medical necessity guidelines. Day shift; PRN position.

Qualifications

• Requires RN license in Oklahoma
• Three years of acute RN experience required
• Utilization Review experience preferred or equivalent

Responsibilities

• Utilization Review, Utilization Management, Advocacy and Education
• Clinical Analysis and Data Management
• Clinical Care Management/Coordination
• Resource Management
• Transition Management and Denial Prevention
• Utilization Management
• Psychosocial Management

Skills

Utilization Review

Acute RN experience

BLS training

Education

Diploma/ADN

BSN or MSN preferred

Job description

Departmental Overview

Compensation

• $30.10-$49.17/hr depending on previous work experience.

Job Summary

• Utilization Review, Utilization Management, Advocacy and Education
• Clinical Analysis and Data Management
• Clinical Care Management/Coordination
• Resource Management
• Transition Management and Denial Prevention
• Utilization Management
• Psychosocial Management
• Assist with establishing and review of departmental metrics on annual basis or as needed to insure mission, vision and strategic plan of NRHS.

Qualifications

Education

• Diploma or Associate’s degree (ADN) required, Bachelor of Science in Nursing (BSN), or Master's of Science in Nursing (MSN) preferred.

Experience

• 3 years of acute RN experience required.
• Prior Utilization Review experience preferred.
• Current knowledge of medical necessity guidelines for hospitalization status preferred.

(Above requirements can be met by equivalent combination of education and experience)

Licensure/Certification

• Current, RN license in the state of Oklahoma, Basic Life Support (BLS) training or retraining is required and must be maintained for the duration of employment.

Work Shift

Day

Position Type

PRN