RN Utilization Manager (PRN)

St. Tammany Parish Hospital; Covington (LA); Sur place; USD 30 000 - 50 000; Temps partiel

Résumé du poste

St. Tammany Health System is seeking an RN Utilization Manager (PRN) for a part-time hybrid role in Covington, LA. The incumbent will review medical records for admission appropriateness, monitor continued stays, and support discharge planning.

Qualified candidates are registered nurses with LA licensure and strong communication skills. The role requires organization, confidentiality, and ability to work independently within a hospital setting.

Qualifications

• RN licensure required in Louisiana.
• Experience in Utilization Management preferred.
• Strong written and verbal communication skills.

Responsabilités

• Review daily medical records for admission appropriateness, continued stay, use of resources and discharge readiness.
• Assist in development, planning and administration of Utilization Management activities.
• Maintain confidentiality of all information and documents.

Connaissances

Utilization management

Clinical documentation

Communication skills

Organization

Problem solving

Formation

RN licensure (LA)

Description du poste

## RN Utilization Manager (PRN)Applyremote type: Office/Remote Hybridlocations: Covington, LAtime type: Part timeposted on: Posted Todayjob requisition id: R12530At St. Tammany Health System, delivering world-class healthcare close to home is our goal. That means we are committed to attracting and retaining the very best professionals for every position in our health system.We believe the pristine beauty of St. Tammany Parish adds to our attractive compensation package. The health system is nestled in the heart of Covington on the north shore of Lake Pontchartrain. It is a peaceful, scenic, community-oriented area with an abundance of amenities to suit every taste.**JOB DESCRIPTION AND POSITION REQUIREMENTS**Scheduled Weekly Hours: TBD**Work Shift:** (Usually 6 P.M. - 11 P.M.)**Summary of the Job:**The Utilization Manager is responsible to assist in the development, planning, coordination, and administration of the activities of Utilization Management. Job responsibilities include but are not limited to the following: daily review of medical records to determine appropriateness and medical necessity of admission, continued stay, use of resources, and discharge readiness. Assumes responsibilities delegated by the Department Head. **Minimum Qualifications:**Graduate of accredited school of Nursing and maintains current R.N. licensure by the Louisiana State Board of Nursing. Five years of hospital nursing experience preferred. Experience in the field of Utilization Management activities highly preferred. Basic understanding of CPT-ICD-9 coding principles and DRG management preferred. Graduate of accredited school of Nursing and maintains current R.N. licensure by the Louisiana State Board of Nursing. Ability to demonstrate effective written and verbal communication skills and possess emotional and professional maturity. Highly organized and efficient in establishing priorities and performing tasks within specific timeframes. Self-motivator requiring minimal supervision. Views problems as a challenge and investigates alternatives which demand creativity, flexibility and the ability to work under stress. Responsible for maintaining strict confidentiality of all verbal & written information and documents. Knowledgeable in the Utilization Management review process. **Physical Demands:** Must possess good physical health. Some requirements include but are not limited to standing, sitting or walking for long periods of time. Lifting at least 10 pounds is required. Physical Effort required:Constant (67%-100%) – seeingFrequently (34%-66%) - handling/feeling, talking, hearing Occasionally (1%-33%) – lifting, carrying, pushing/pulling, stooping, crouching, reaching**Contact Information:**Jennifer Saint, HR Talent PartnerTalent Acquisition - Human Resources### **EMPLOYMENT**Each St. Tammany Health System staff member is expected to conduct himself or herself according to our mission, vision and values. Please take time to review those expectations, which can be found **by clicking here**, before applying for employment. If you feel you are unable to demonstrate those characteristics, we respectfully request that you do not proceed with the application process.**EQUAL OPPORTUNITY EMPLOYER**St. Tammany Health System is an Equal Opportunity Employer. St. Tammany Health System is committed to equal employment opportunity for all employees and applicants without regard to race, color, religion, sex, age, national origin or ancestry, citizenship, sexual orientation, gender identity, veteran status, disability status, genetic information or any other protected characteristic under applicable law.