RN Utilization Review Full-time
St. Bernards Healthcare

UTILIZATION EXPERT - RN - WEEKENDS

St. Bernards Healthcare Jonesboro, AR, US


  • JOB REQUIREMENTS
    • Education
      • Licensed to practice in the State of Arkansas. Graduate of an approved school of Nursing. Current RN licensure or permit as a registered nurse in the State of Arkansas, BSN preferred.
    • Experience
      • Minimum of three years clinical nursing experience. Case Management or Utilization Review Experience preferred. Works efficiently with others and demonstrates tact, discretion and diplomacy. Ability to operate technical equipment as acquired through orientation.
    • Physical
      • Normal hospital environment. Exposure to biological hazards. Frequent exposure to unpleasant odors. Close eye work. Hearing of normal and soft tones. Distinguish temperatures by touch and proximity. Carrying up to 40 lbs. Push/pulling up to 350 lbs. Frequent sitting, standing, walking, bending, stooping, climbing and reaching. Operates computer terminals
      • This is a safety sensitive position. Please see the St. Bernards Substance Abuse Policy for further information.
  • JOB SUMMARY
    • The Utilization Review Nurse follows the medical center Utilization Review plan and operates under the policies of the Support Services Dept. The position requires knowledge of field and utilization of discretion and judgment in role of utilization review and clinical documentation duties. The nurse must possess the ability to positively interact with other medical center departments, insurance companies, review agencies, and physician offices. The nurse must provide essential and appropriate medical information to those requiring it and do so in a timely manner and with concern for maintaining patient confidentiality. To achieve optimal clinical and financial outcomes, through utilization, service, quality indicators, and patient flow. Work closely with case management staff to ensure level of care change is communicated and flows smoothly. Works closely with the physicians, allied health nurses, and coding department to facilitate clinical documentation program. This position is required to utilize independent judgment.

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