RN Reviewer, Health Plan/Utilization Mgmt.

Cook Children's; Fort Worth, Northern (TX, KY); Hybrid; USD 80,000 - 105,000; Full time

Job summary

Cook Children’s in Fort Worth, TX seeks a Registered Nurse Reviewer for Health Plan/Utilization Management to coordinate utilization and ensure timely, high-quality care across the continuum. You will assess clinical information, determine medical necessity with the Medical Director, and authorize services using MMC criteria.

The role requires an Associate degree in Nursing (BSN preferred), 5 years of clinical experience, and 2 years in utilization/case management.

Qualifications

• Associate degree in Nursing is required.
• BSN is preferred.
• Strong communication and critical thinking skills are essential.

Responsibilities

• Coordinate utilization management and ensure timely provision of care.
• Assess hospital/physician information and determine medical necessity with Medical Director.
• Authorize services using MMC criteria and communicate with providers.

Skills

Oral & written communication

Critical thinking

Organization & time management

Customer service

Education

Associate degree in Nursing

BSN preferred

Job description

## RN Reviewer, Health Plan/Utilization Mgmt.Apply: Fort Worth, TX: Full time: Posted Today: JR-119131**Location:**Calmont Operations Building**Department:**Utilization**Shift:**First Shift (United States of America)**Standard Weekly Hours:**40**Summary:****Additional Information:**Responsible for the coordination and efficient utilization of health care resources for Cook Children's Health Plan (CCHP) members. Works with the Department Manager and Team Lead to assure the timely provision of quality care throughout the continuum of care. The Registered Nurse Utilization Management/Episodic Case Manager (UM/ECM - RN) Reviewer facilitates clinically appropriate and fiscally responsible care through communication with the providers and health plan medical directors. The UM/ECM - RN Reviewer assesses and identifies the members clinical information and determines, in conjunction with the Medical Director, medical necessity and appropriateness of requested services. Utilizes Medical Management Committee (MMC) approved clinical criteria to authorize requested services for the member. The UM/ECM - RN Reviewer communicates with providers of care/services to facilitate appropriate care transitions. The UM/ECM - RN Reviewer assures adherence to regulatory/contractually required timeliness standards for authorization request processing, associated communications and notice of adverse determinations are met for CCHP. **Education/Education:*** Associate degree of Nursing required, BSN preferred.* RN with a minimum of five (5) years clinical experience.* 2 years utilization management or case management experience required. **Strong skills in the following areas**: Oral and written communication; Critical thinking; Organization and time management; Customer service.**Certification/Licensure:*** Current unrestricted Registered Nurse licensure in the State of Texas. **About Us:** Cook Children’s is an equal opportunity employer. As such, Cook Children’s offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination. Cook Children’s is a Texas-only employer. If you are hired, you will need to maintain your primary residence within the state of Texas, along with all licenses and credentials required for your position throughout your employment.