Utilization Review Nurse - Care Coordination Services

Montage Health

Unknown, Unknown, US
Base: $71.69 to $95.88; evening shift differential...
On-site
Quality care facilitation
Regulatory requirements compliance
Patient diagnosis evaluation
Montage Health is seeking a Utilization Review Nurse to enhance quality care through patient assessment and regulatory compliance. The role requires a strong clinical background in acute care nursing, effective communication skills, and teamwork. Candidates must possess a California RN license and have relevant experience in patient evaluation and insurance requirements

Job Summary

  • Under the leadership of the department director the Utilization Review Nurse facilitates quality care by screening the admission and continued stay of patients utilizing Intensity of Service/Severity of Illness criteria.
  • The Utilization Nurse complies with regulatory requirements and supports systems and processes to meet regulations.
  • Important dimensions of this position consist of quality, professional commitment, teamwork, interpersonal skills, safety, good public/customer relations and a broad clinical knowledge.

Matching Summary

Match Score: 85

Montage Health is seeking a Utilization Review Nurse to enhance quality care through patient assessment and regulatory compliance. The role requires a strong clinical background in acute care nursing, effective communication skills, and teamwork. Candidates must possess a California RN license and have relevant experience in patient evaluation and insurance requirements.

Salary

Base: $71.69 to $95.88; Evening Shift Differential: $5.50; Night Shift Differential: $8.00

Skills & Requirements

Must-have

  • quality care facilitation
  • regulatory requirements compliance
  • patient diagnosis evaluation
  • treatment plan outcomes assessment
  • interdisciplinary assessment team member

Nice-to-have

  • professional commitment
  • teamwork
  • interpersonal skills
  • good public relations
  • customer relations

Key Requirements

  • 5 years current acute care hospital experience
  • Bachelor’s degree in nursing preferred
  • State of California RN license required
  • Knowledge of financial reimbursement preferred
  • Knowledge of Government programs preferred

Work Rights

Not specified

Tailored Resume

Cover Letter