Utilization Management Nurse

Presidential Staffing Solutions, LLC; Dayton (OH); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

401(k)

Employee discounts

Paid time off

Competitive salary

Dental insurance

Health insurance

Vision insurance

Competitive Compensation

Great Work Environment

Career Advancement Opportunities

Job summary

Presidential Staffing Solutions, LLC is seeking a Utilization Management Nurse to join our team. You will review patient files and treatment methods with an eye for efficiency and effectiveness to ensure optimal care.

The ideal candidate holds a BSN, an active RN license, and preferably a Case Management or Utilization Management certification, with strong communication and analytical skills.

This role emphasizes collaboration with clinical staff to improve patient outcomes and cost management.

Qualifications

• Bachelor's degree in Nursing and RN licensure required.
• Certification in Case Management or Utilization Management preferred.

Responsibilities

• Review patient files and treatment information for efficiency
• Monitor the activity of staff to ensure effective patient treatment
• Advocate for quality patient care to prevent complications
• Review discharge information for outgoing patients
• Work closely with clinical staff to provide excellent patient care
• Prepare reports on patient management and cost assessments

Skills

Strong communication

Strong interpersonal skills

Strong analytical skills

Education

Bachelor's degree in Nursing

RN licensure

Certification in Case Management or Utilization Management

Job description

Benefits:

• 401(k)
• Employee discounts
• Paid time off
• Competitive salary
• Dental insurance
• Health insurance
• Vision insurance

Benefits/Perks

• Competitive Compensation
• Great Work Environment
• Career Advancement Opportunities

Job Summary

We are seeking a Utilization Management Nurse to join our team! As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files and treatment methods with an eye for efficiency and effectiveness. Your role will be to ensure we are running at optimal efficiency, and that all patients under our care are receiving the necessary treatments and procedures. The ideal candidate has deep experience in a similar medical setting, has a bachelor's or higher in Nursing, and has a certification in either Case Management or Utilization Management.

Responsibilities

• Review patient files and treatment information for efficiency
• Monitor the activity of staff to ensure effective patient treatment
• Advocate for quality patient care to prevent complications
• Review discharge information for outgoing patients
• Work closely with clinical staff to provide excellent patient care
• Prepare reports on patient management and cost assessments

Qualifications

• Bachelor's degree in Nursing, with state RN licensure, required
• Certificate in Case Management or Utilization Management desired
• Strong communication and interpersonal skills
• Strong analytical skills