Full employer posting
Description Additional Position Details: FTE: 1.000000 | Full Time | 1st Shift - Days | This position will work every Saturday and Sunday. Salary Range: $50.82 - $69.89 Shift Differentials: $2.20/hour for working weekends. *Note this position will work every Saturday and Sunday as part of a set schedule.
The Utilization Review Nurse monitors utilization practices from preadmission to discharge to assure cost-effective, quality patient care and to ensure that patient, physician, and hospital/system receive maximum benefits from the health plan. Also ensures compliance with all regulatory requirements involved in the continuum of care. In this role, general responsibilities include: Receiving and disseminating information related to system, departmental, and patient processes Participating in data collection activities to support departmental programs and services Monitoring and reporting on patient outcomes and actively working with other members of the interdisciplinary team to facilitate improved delivery of cost-effective services Conducting utilization review, evaluating clinical information, and communicating findings to payors within the framework of contractual and government regulations Reviewing all admissions for appropriate inpatient vs. outpatient / observation status Qualifications 2 recent years of progressive nursing experience in an acute care setting preferably within discharge, utilization and/or case management or equivalent combination of education and/or experience RN: Registered Nurse licensed by Oregon State Board of Nursing is required upon start
Bachelor's degree in nursing CCM: Certified Case Manager ACM: Accredited Case Manager Total Rewards We offer a comprehensive Total Rewards package designed to support your well-being and professional growth, including: Competitive
Hourly and salaried positions earn market-based compensation. Health & Wellness: Medical, dental, and vision coverage for part-time and above employees and their eligible dependents beginning within 30 days of hire. Retirement Savings: Employer-sponsored retirement plan with company contribution and match.
Paid Time Off: Generous ETO for part-time and above employees. Professional Development: Continue to enhance your education through our tuition reimbursement and tuition repayment program Additional
Life insurance, disability coverage, and employee assistance programs. At Asante, we are guided by our values: Excellence - Respect - Honesty - Service - Teamwork Asante is proud to be an Equal Opportunity Employer. We are committed to creating a diverse and inclusive workplace and to employing and advancing qualified individuals of all backgrounds, including women, minorities, individuals with disabilities, and protected veterans.
About the role
The Utilization Review Nurse monitors utilization practices from preadmission to discharge to assure cost-effective, quality patient care and to ensure that patient, physician, and hospital/system receive maximum benefits from the health plan. Also ensures compliance with all regulatory requirements involved in the continuum of care.