RN - Utilization Review Nurse - Full Time - Days

Mohawk Valley Health System • Full-time • Buffalo, NY, United States • 5d ago

Job Summary

Reports to and is under direct supervision of Case Management Department. Provides ongoing support and expertise through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs. Promotes continuity of care and cost effectiveness through the integrating and functions of case management.

Core Job Responsibilities

Coordinates discharge planning to assure that the patient progresses through the continuum of care and is discharged to the least restrictive environment.
Coordinate the hospital activities concerned with case management and discharge planning.
Ensure compliance with quality patient care and regulatory compliance.

Education/Experience Requirements

Required:

Minimum of two (2) years utilization review/case management experience or social work experience.

Preferred:

Associate degree in healthcare related filed.
Bachelor’s degree is preferred.
Licensed professional nurse may be considered.
Bachelors or Masters Degree in related healthcare field (such as respiratory therapy or social work) may be considered.

Licensure/Certification Requirements

Required:

Maintain current professional licensure in nursing or professional filed of certification.

Preferred:

Appropriate certification in the case management preferred (e.g. Commission for Case Management Certification (CCMC) or Association of Rehabilitation Nurses).

Disclaimer

Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.

Successful candidates might be required to undergo a background verification with an external vendor.

Job Details

Req Id 92394
Department CASE MANAGEMENT
Shift Days
Shift Hours Worked 8.00
FTE 1
Work Schedule HRLY NON-UNION
Employee Status A1 - Full-Time
Union Non-Union
Pay Range $35 - $58/Hourly