RN Utilization Case Manage Part Time
POSITION SUMMARY:
Performs concurrent utilization review activities on all patients within the assigned caseload. Collaborates and educates the medical staff on appropriate utilization review guidelines and documentation in accordance with CMS regulations and Commercial payors guidelines. Monitors and intervenes on LOS, resource utilization and denial management/ prevention within the assigned caseload.
EDUCATION:
Bachelor’s degree (BSN) in nursing required. RN License.
EXPERIENCE:
Minimum 5 years experience in clinical nursing, minimum of 3 years in case management/ utilization.
SPECIAL SKILLS:
Registered Nurse, Licensed in State of New Jersey, Current acute care clinical knowledge with broad-base medical / surgical background. Demonstrates effective interaction and communication skills. Strong critical thinking, clinical reasoning skills and effective problem-solving. Ability to perform work accurately and pay attention to details, often changing from one task to another without loss of efficiency or composure. Ability to function competently in stressful situations and changing work environment, Ability to work collaboratively within the health- system with patients and families; and with multidisciplinary team members.
Area of Talent: Allied Health & Technical
Organization: The Valley Hospital
Department: VH CASE MGMT/SOCIAL SVC
Shift: Day
Part Time
Schedule: 8:00 am – 4:30 pm
req14989
United States
Working at Valley Health
At Valley Health System, our mission is to improve the lives of our patients, staff and communities by delivering high-quality, cost-efficient healthcare through the hard work of our dedicated staff. If you’re interested in a career in which your advancement is both supported and encouraged, we invite you to apply today to become part of a leading health system with an ongoing commitment to serve and care.
Where Your Career Can Take You
The Best Benefits for You
We provide a full range of comprehensive benefits and programs designed to offer you the best possible options for yourself, your family and your lifestyle.
Professional Development
An investment in our employees is an opportunity to elevate the exceptional care we are known for to a whole new level of expertise. Our education and career development benefits offer something for everyone looking to grow, no matter their experience level.
Time-Off
We believe that when employees are well-rested, healthy, and free of worries from personal emergencies, they are better prepared to perform at work. That is why we offer generous and well-deserved time-off benefits.
Health & Wellness
Our various Health and Wellness benefits provide for preventive screenings and comprehensive medical, dental, vision, pharmacy and wellness programs that support you and your family.