Certified Utilization Review RN – Care Management (Days) (Part-Time) Position Available In Carroll, Georgia

Certified Utilization Review RN – Care Management (Days) (Part-Time)
Carrollton, GA
Nursing
25-660
Job Description
The role of the Utilization Review Nurse is to ensure that each patient is treated at the appropriate level of care and authorization is obtained for the stay or procedure. The UR Nurse will work under the manager of the department to coordinate a multidisciplinary approach to organize and coordinate effective, efficient, quality care. The UR nurse will work within the multidisciplinary team to develop a plan that is appropriate for the patient as related to benefits, resources, and medical condition. The coordinator strives for improvements in the quality and cost-efficiency of medical care and the client’s quality of life.
Required Knowledge & Skills

Education:

Associate Degree or 2 years of college coursework

Experience:

Three years of related experience. Requires working knowledge of specialized practices, equipment, and procedures.
Licenses and Certifications

• ALABAMA REGISTERED NURSE LICENSE OR MULTISTATE NURSING LICENSE

• GEORGIA REGISTERED NURSE LICENSE OR MULTISTATE NURSING LICENSE

  Supervision

• None
  Qualifications
• Current Georgia and Alabama RN license. BSN MSN preferred.
• Certification in ACM or CCM required.
• Demonstrated professionalism, integrity, and ethical behavior.
• Demonstrated initiative, critical thinking, and problem solving skills.
• Demonstrated ability to organize, prioritize, and make appropriate decisions following organizational and departmental policies and procedures with minimal supervision.
• Demonstrated interpersonal skills. Excellent verbal and written communication skills.
• Demonstrated ability to analyze and organize information and data.
• Knowledge of utilization review guidelines, case management principles, and regulatory and accreditation standards.
• Ability to function within a synergistic team concept.