Utilization Review Nurse

UNC Health Care; Old Farm (NC); On-site; USD 60,000 - 80,000; Full time

Job summary

A healthcare organization is seeking a Registered Nurse in Kinston, NC to facilitate utilization management processes and ensure appropriate patient care. The ideal candidate will have a minimum of five years of experience in healthcare and must be licensed in North Carolina. The position requires strong critical thinking and assessment skills, with a full-time commitment on-site.

Qualifications

• Five years of healthcare experience as a Registered Nurse.
• Licensed to practice as a Registered Nurse in North Carolina.

Responsibilities

• Facilitate utilization management processes in collaboration with the care team.
• Communicate with physicians for proper documentation.
• Conduct interpersonal relationships with patients and staff positively.

Skills

Strong assessment and critical thinking skills

Education

Graduate from an accredited school of nursing, BSN preferred

Job description

Description

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.

Summary:
This position facilitates utilization management processes to support the right care is provided at the right place at the right time. To accomplish these goals, the UR, Nurse applies established criteria to evaluate the appropriateness of admission, level of care, continued hospitalization and readiness for care transition; assures timely movement of patients throughout the continuum of care by conducting concurrent review and proactively resolving care, service, or transition of care delays/issues as necessary; in collaboration with the care team. This position provides third-party payers clinical information to assure reimbursement; and coordinating care with the treatment team, patient, family, and others. Communicates with physicians for appropriate documentation to support authorization of services.

Responsibilities:
Patients/Families, Hospital staff, Medical staff, Community agencies, and Insurance Companies are served by conducting interpersonal relationships in a manner that projects a positive image of the department and hospital. All contacts with customers are friendly, helpful and courteous.

Other information:
Qualifications

EDUCATION REQUIREMENTS

• Graduate from an accredited school of nursing, BSN preferred.

PROFESSIONAL EXPERIENCE REQUIREMENT

• Five (5) years of health care experience as a Registered Nurse.

LICENSURE/REGISTRATION/CERTIFICATION

• Licensed to practice as a Registered Nurse in the state of North Carolina.

KNOWLEDGE, SKILLS AND ABILITIES REQUIREMENTS

• Strong assessment and critical thinking skills.

PHYSICAL REQUIREMENT

• Standing, Walking, Sitting, Reaching, Talking, Seeing, Hearing, Tasting, Smelling, Carrying, Pushing, Pulling, Lifting, and Moving.

Job Details

Legal Employer: Lenoir Health

Entity: UNC Lenoir Health Care

Organization Unit: Care Management

Work Type: Full Time

Standard Hours Per Week: 40.00

Salary Range:$32.48 - $38.98per hour (Minimum to Midpoint )

Pay offers are determined by experience and internal equity

Work Assignment Type: Onsite

Work Schedule: Day Job

Location of Job: US:NC:Kinston

Exempt From Overtime: Exempt: No