Overview RN Utilization Management - Full-Time TRACK weekend Days role at St. Peter's Health Partners
Description
We at St. Peter’s Health Partners recognize that nursing is one of the most challenging careers and the most rewarding. We work with nurses to ensure that their professional experiences meet the expectations they had when they chose nursing. We recognize the crucial role you play in the care of every patient treated and we have worked hard to ensure that you find the professional culture, the career support, medical resources and the career opportunities you’re seeking.
Employment details Employment Type: Full time
Shift: 12 Hour Day Shift
Position Highlights Recognized leader: Magnet Hospital in the Capital Region
Quality of Life: Where career opportunities and quality of life converge
Advancement: Strong orientation program, generous tuition allowance and career development
Work/Life: Positions and shifts to accommodate all schedules
What You Will Do Perform utilization management, both concurrent and retroactive for inpatient and outpatient services in accordance with the utilization program which meets the requirements of JCAHO and third party payor contracts.
Responsibilities Responsible for the length of stay and level of care to provide effective and efficient health care services that best serve the needs of the patient.
Work within and contribute to an environment where the mission is actualized, patient-focused outcomes are achieved and high quality professional practice is realized.
What You Will Need Minimum requirements:
Current and valid NYS RN license
Bachelor of Science in nursing, or willingness to pursue defined plan for matriculation in program demonstrated by ongoing coursework each semester
BLS certification
2 years of experience in acute setting or one year in community health
Preferred requirements:
Discharge planning and community resource knowledge
Basic knowledge of the utilization management process
Working knowledge of recognized industry clinical standards, i.e. Interqual, Milliman Care Guidelines
Maintain the highest level of customer service while completing day to day duties and responsibilities
Critical thinking skills to problem solve
Excellent time management and organizational skills
High level of efficiency to communicate in a fast paced work environment
Engage within a team setting to help promote a strong team culture
Our team is willing to help train the right candidate as long as they meet the minimum requirements and have the desire and ability to learn and grow into this opportunity to progress in their nursing career.
Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.