Utilization Review RN ARRMC (Case Management)
Join to apply for the Utilization Review RN ARRMC (Case Management) role at Asante Join to apply for the Utilization Review RN ARRMC (Case Management) role at Asante Get AI-powered advice on this job and more exclusive features. Additional Position Details: FTE: 0.000001 | On Call | Primarily Mon - Fri / 8AM - 5PM Please Note: This is a remote position. Candidates will be required to have reliable broadband internet and personal cell phone service. Remote work may include online training and working day-to-day operations during Pacific Standard business hours. Starting Wage: $49.34-$67.84 per hour, depending on experience Position Summary The Utilization Review RN monitors utilization practices from preadmission to discharge to assure cost-effective utilization of resources, quality patient care, and compliance with regulatory requirements. This role is responsible for reviewing the medical record to ensure documentation demonstrates medical necessity according to regulatory guidelines. The Utilization Review RN will actively manage and communicate with key members of the care team to secure accurate documentation and admission status.
- 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 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, required
- RN: Registered Nurse licensed by Oregon State Board of Nursing OR Registered Nurse (RN) with an active license in a state approved for remote work in this position, required
Preferred Qualifications
- Bachelor's degree in nursing
- CCM: Certified Case Manager
- ACM: Accredited Case Manager
What We Offer
Our Flexible Workforce (Per diem/On-call)
- Competitive starting wage
- An additional 15% on top of the base hourly rate (if not an employee already in a benefited position)
- Benefit option available through the Asante Flexible Workforce plan
- Excellent retirement package with up to a 6% employer contribution
At Asante we are defined by our values – traits that guide us as we serve patients and the community: Excellence - Respect - Honesty - Service - Teamwork Asante is an equal opportunity employer. We are committed to employ and advance in employment women, minorities, qualified individuals with disabilities and protected veterans. Seniority level
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