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Utilization Review RN ARRMC (Case Management)

Asante
Asante Salary
Medford, OR Full Time
POSTED ON 3/22/2025
AVAILABLE BEFORE 5/22/2025

Additional Position Details: FTE: 0.900000 | Full Time | Variable Hours/Variable Days

Salary: Starting at $45.26 an hour and increases are based on qualifications and years of experience in the field. Plus, you will earn extra shift differentials for weekend hours:

  • $2.20 extra for working weekends

PLEASE NOTE: This position may be remote. Candidates will be required to have reliable broadband internet and personal cell phone service. Remote work may include working day-to-day operations during Pacific Standard business hours or online training.

Position Summary

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

Preferred Qualifications

  • Bachelor's degree in nursing
  • CCM: Certified Case Manager
  • ACM: Accredited Case Manager

Total Rewards Package

  • Earn a competitive and progressive salary
  • Benefit from health plans that are focused on health and wellness including medical, dental, vision and wellness beginning within 30 days of hire
  • On-call employees may receive an additional 15% for flexibility
  • Plan for your future with a retirement package that includes up to 6% employer contribution
  • Experience a healthy work-life balance with our generous earned time off (ETO)
  • Continue to enhance your education through our tuition reimbursement and tuition repayment plans

At Asante, we are guided by our values below. Explore Asante more by visiting www.asante.org/careers

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.

Salary : $2 - $45

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