- – RN Utilization Management POSITION DUTIES – Primary link between the clinical floor and administrative compliance. Relies heavily on real-time, face-to-face interaction with doctors, patients, and interdisciplinary teams to optimize hospital resources. Responsible for performing admission and concurrent medical record reviews to ensure patients are in the correct Patient Class (e.g., Inpatient vs. Outpatient with Observation). Directly influence the hospital's throughput, length of stay, and reimbursement accuracy. MINIMUM REQUIRED QUALIFICATIONS –
- GA/compact RN license
- Associates or Diploma in Nursing (from an accredited college or university)
- AHA BLS
- 3+ years strong clinical knowledge with clinical practice/experience
- Knowledgeable about case management process and about utilizing screening criteria in review of clinical data and identifying variance
- Epic experience
– Bachelors degree in Nursing LENGTH OF ASSIGNMENT – 13 weeks SHIFT / HOURS PER WEEK – Dayshift, 40hrs/wk SYSTEMS – Epic START DATE – ASAP