Utilization Review RN: Case Management & Care Coordination

CareConnect; Greenvale (NY); On-site; USD 70,000 - 90,000; Full time

Job summary

CareConnect in Greenvale, New York is looking for a qualified candidate to oversee utilization management activities. The role involves coordinating clinical compliance and ensuring timely case management for patients while working closely with healthcare teams.

The ideal candidate must have a Bachelor’s Degree in Nursing and five years of clinical experience. The job aims to enhance patient outcomes and provide education for better self-care and advocacy.

Qualifications

• Graduate from an accredited School of Nursing.
• BSN Degree required within five years of hiring if hired after September 2010.
• Minimum of five years clinical experience.

Responsibilities

• Perform medical necessity reviews for selected procedures.
• Provide timely case screening and referrals.
• Collaborate with healthcare teams for optimal outcomes.
• Identify discharge needs and facilitate timely discharges.

Skills

Case management

Clinical compliance

Communication

Education

Bachelor's Degree in Nursing

Job description

CareConnect in Greenvale, New York is looking for a qualified candidate to oversee utilization management activities. The role involves coordinating clinical compliance and ensuring timely case management for patients while working closely with healthcare teams.

The ideal candidate must have a Bachelor’s Degree in Nursing and five years of clinical experience. The job aims to enhance patient outcomes and provide education for better self-care and advocacy.