Responsibilities
- Utilization Review, Utilization Management, Advocacy and Education
- Clinical Analysis and Data Management
- Clinical Care Management/Coordination
- Resource Management
- Transition Management and Denial Prevention
- Utilization Management
- Psychosocial Management
- Assist with establishing and review of departmental metrics on annual basis or as needed to insure mission, vision and strategic plan of NRHS.
Qualifications
Education
- Diploma or Associate’s degree (ADN) required, Bachelor of Science in Nursing (BSN), or Masters of Science in Nursing (MSN) preferred.
Experience
- 3 years of acute RN experience required.
- Prior Utilization Review experience preferred.
- Current knowledge of medical necessity guidelines for hospitalization status preferred.
Licensure/Certification/Registration/ETC.
- Current, RN license in the state of Oklahoma, Basic Life Support (BLS) training or retraining is required and must be maintained for the duration of employment.
Compensation/Benefits
- $30.10-$49.17/hr depending on previous work experience.
- Benefits include medical, dental, vision, short-term disability, long-term disability, life insurance, paid time off (PTO), paid holidays, tuition reimbursement, scholarship opportunities, retirement plans, free parking, and opportunities for advancement.
