Utilization Management - Registered Nurse

Crouse Health; City of Syracuse (NY); On-site; USD 80,000 - 85,000; Full time

Benefits offered by this job

Medical, Dental, Vision, FSA, 401K

Company paid life insurance

Tuition Assistance and Workforce Dev.

Employee Assistance Program

Job summary

Crouse Health in Syracuse, NY seeks a Utilization Management RN to track and manage data related to service utilization. The role collaborates with the multidisciplinary team to ensure appropriate resource allocation and maintain care quality.

Full-time, days, 8:00am-4:30pm with occasional weekends. Requires NY RN license; BSN preferred. Eligible for up to a $10,000 sign-on bonus.

Qualifications

• Current NYS RN license required.
• Graduate from an accredited nursing degree program.
• Bachelor of Science in Nursing preferred; if licensed after 2017, BSN must be completed within 8 years.

Responsibilities

• Works collaboratively with the multidisciplinary healthcare team to ensure appropriate allocation of hospital resources while maintaining quality of care.
• Demonstrates proficiency with standard Utilization Review processes.
• Responsible for concurrent and continued stay Utilization Management reviews and for ensuring data is tracked, evaluated and reported.
• Progresses patients through the continuum of care based on admission status.
• Determines appropriate admission status based on regulatory and payer requirements.

Skills

Utilization Review

Collaborative care

Education

Bachelor of Science in Nursing

Accredited nursing degree program

Job description

Care Coordination Services - 154

Syracuse, NY

Clinical

Full-Time, Days, 8:00am-4:30pm

Since 1887, Crouse Health has been a leading healthcare provider in Central New York. We’ve combined a family-friendly culture with a passion to provide the best care, which creates an environment where both patients and team members feel valued. Crouse Health offers a full range of general and specialty care, inpatient and outpatient services, as well as community health education and outreach programs.

Crouse’s Care Coordination Services team is hiring a Utilization Management Registered Nurse (RN) to track and manage data and client care as it relates to the utilization of services.

Pay Range: $80,000.00 - $85,000.00 / year

Utilization Management RNs are eligible for up to a $10,000 Sign-On Bonus!

Available Schedule(s)

• Full Time: 8:00am-4:30pm with occasional weekends (typically requires 6 weekends a year).

Utilization Management Registered Nurse (RN) Position Responsibilities

• Works collaboratively with the multidisciplinary healthcare team to ensure the appropriate allocation of hospital resources while maintaining the quality of care.
• Demonstrates proficiency with standard Utilization Review processes.
• Responsible for concurrent and continued stay Utilization Management related reviews and functions and for ensuring that appropriate data is tracked, evaluated and reported.
• Progresses patients through the continuum of care based on their appropriate admission status.
• Maintains effective and efficient processes for determining appropriate admission status based on the regulatory and reimbursement requirements of various commercial and government payers.

Utilization Management Registered Nurse (RN) Position Requirements

• Must have a current New York State Registered Nurse (RN) license.
• Graduate from an accredited nursing degree program required.
• Bachelor of Science degree in Nursing preferred.
  • For RNs licensed in or after 2017, completion of a Bachelor’s of Nursing Degree will be required within 8 years of the date the license was obtained.
• Certification in a specialty area preferred.
• Three (3) - Five (5) years acute hospital experience.
• Case Management or Utilization Management experience preferred.

Benefits Overview

• Medical, Dental, Vision, FSA, and 401K.
• Company paid life insurance.
• Tuition Assistance and Workforce Development Opportunities.
• Crouse Health Employee Assistance Program.
• Employee discounts on any Inpatient or Outpatient service, hospital cafeteria and pharmacy, and certain retailers.
• YMCA Subsidy program.
• Clinical Nursing Pathway Program for Registered Nurses designed to foster career growth and progression. Learn more here: https://www.crouse.org/nursingpathway/
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