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 a Registered Nurse with expertise in Utilization Review and Care Management for PRN daytime shifts in Oklahoma. Responsibilities include utilization management, advocacy, education, and coordination of clinical care and data analysis to support department goals.

Qualified candidates possess a nursing license in Oklahoma, 3 years of acute RN experience, and prefer prior Utilization Review background. BSN/MSN is a plus; BLS required; day shift, PRN position.

Qualifications

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

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.
• Assist with establishing and review of departmental metrics on annual basis or as needed to insure mission, vision and strategic plan of NRHS.

Skills

Acute RN experience

Utilization Review

Care coordination

Data management

Medical necessity guidelines

Education

Diploma or ADN

BSN/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