Registered Nurse - Utilization Review, Per Diem

Job description

Employment Type: Part time Shift: Day Shift Description: Job Title: Registered Nurse Department: Utilization Review Employment Type: Per Diem: Shift: 8-hour shifts - Coverage for weekday and weekends Location: St. Mary Medical Center - Langhorne, PA Position Purpose: The UM Registered Nurse is responsible for the coordinating and facilitating all aspects of reimbursement as related to the clinical review and level of care. Management of all review and appeals utilizing a modified approach based on specific needs of the patient population. Facilitates achievement of efficient resource consumption, and acceptable clinical outcomes, through integration and implementation of utilization management. Minimum Qualifications: Bachelor's degree in nursing required. Active PA RN License required. Previous experience in Utilization review required. CCM or Accredited Case Manager certification preferred. Demonstrates ability to use problem solving, critical thinking, and priority setting skills. Must be able to work independently and on a team. Ability to perform diversified duties with time limitations with a high degree of accuracy Position Highlights: Work/Life balance with flexible schedul...