Utilization Review Care Manager (RN)- Care Management

Cookeville Regional Medical Center; Cookeville (TN); On-site; USD 70,000 - 110,000; Full time

Job summary

Cookeville Regional Medical Center in Cookeville, TN seeks a Utilization Review professional with nursing leadership experience. The role directs quality improvement, case management, clinical pathway development and discharge planning within the Pathways System.

RN licensure is required, with 3–5 years in healthcare management and a background in utilization review. Ideal candidates also have knowledge of nursing procedures, accounting and statistical concepts, and proficiency with computer

Qualifications

• Associates or Bachelors Degree in Nursing required.
• State RN License required.
• Three to five years of health care management experience preferred.
• Background in Case Management/Utilization Review with knowledge of nursing procedures.

Responsibilities

• Direction, management and monitoring of Quality and Process Improvement activities.
• Discharge planning for the Pathways System for Case Management.

Skills

Nursing

Case Management

Quality Improvement

Healthcare Management

RN Licensure

Education

Associates or Bachelors in Nursing

Tools

Microsoft Excel

EMR Systems

Statistical Software

Job description

Cookeville Regional Medical Center

Cookeville , TN

The Utilization Reviewis responsible for the direction, management and monitoring of activities related to Quality and Process Improvement, Case Management, Clinical Pathway Development, discharge planning for the Pathways System for Case Management . Other duties as assigned.

Education: Associates or Bachelors Degree in Nursing required. State RN License required.

Experience:Three to five years of health care management. A previous background in Case Management/Utilization Review. Knowledge of accepted Nursing procedures in designated patient populations as acquired through 5 years of clinical experience.
Knowledge of accounting, management and statistical principals. Knowledge and understanding of computer programs. Demonstrates physical capabilities with pressure to meet deadlines and expectations.