Utilization Management Nurse I

Olympic Medical Center

Unknown, Washington, USA
Base: $41.15 - $71.92; bonus/equity: not specified...
Review admission status
Medical necessity review
Compliance with reimbursement policies
The Utilization Management RN I monitors the appropriateness of hospital admissions and stays, reviewing admission status, medical necessity, and continued stay to comply with reimbursement policies

Job Summary

  • The Utilization Management RN I monitors the appropriateness of hospital admissions and stays, reviewing admission status, medical necessity, and continued stay to comply with reimbursement policies.
  • This role involves consulting with physicians to resolve deviations from established criteria and obtaining documentation needed for continued hospitalization.
  • Olympic Medical Center offers a competitive salary, excellent benefits, relocation assistance, and a desirable Pacific Northwest lifestyle.

Matching Summary

The Utilization Management RN I monitors the appropriateness of hospital admissions and stays, reviewing admission status, medical necessity, and continued stay to comply with reimbursement policies.

Salary

Base: $41.15 - $71.92; Bonus/Equity: Not specified; Benefits: Yes

Skills & Requirements

Must-have

  • Review admission status
  • Medical necessity review
  • Compliance with reimbursement policies
  • Consult with physician
  • Resolve deviations from criteria

Nice-to-have

  • PNW lifestyle
  • Community relations development
  • Interdisciplinary team collaboration
  • Resource stewardship

Key Requirements

  • Graduate from accredited school of nursing
  • At least three years professional nursing experience
  • Current Washington State RN license
  • Basic Life Support (BLS) certification within 30 days

Work Rights

Not specified

Tailored Resume

Cover Letter