Registered Nurse - Utilization Review
Trinity Health
Full-time
On-site
Langhorne, Pennsylvania, United States
Registered Nurse
Employment Type: Full time Shift: Day Shift
Description: St. Mary Medical Center, a member of Trinity Health Mid-Atlantic, is seeking an experienced Registered Nurse to join our team in Utilization Review!
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 Requirements:
Bachelor's degree in nursing required.
Active PA RN License required.
CCM or Accredited Case Manager certification preferred.
Previous experience in Utilization review highly 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
We offer a competitive salary and comprehensive benefits including:
Medical, Dental, & Vision Coverage (Effective First day of Hire)
Retirement Savings Program
Generous Paid Time Off
Tuition Reimbursement
Free Parking
And more!
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Description: St. Mary Medical Center, a member of Trinity Health Mid-Atlantic, is seeking an experienced Registered Nurse to join our team in Utilization Review!
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 Requirements:
Bachelor's degree in nursing required.
Active PA RN License required.
CCM or Accredited Case Manager certification preferred.
Previous experience in Utilization review highly 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
We offer a competitive salary and comprehensive benefits including:
Medical, Dental, & Vision Coverage (Effective First day of Hire)
Retirement Savings Program
Generous Paid Time Off
Tuition Reimbursement
Free Parking
And more!
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.