What are the responsibilities and job description for the RN Utilization Review Specialist position at Infirmary Health?
Overview:
Qualifications:
Proficient in word processing and PC based spreadsheet programs
Licensure, Registration, Certification:
For specific areas CRRN (Certified Rehabilitation RN) is required (or eligibility)
Desired Qualifications:
Some background in management, clinical education or case management
Desired Licensure, Registration, Certification:
National certification applicable to area of clinical practice
Responsibilities:
Minimum Qualifications:
Associate Degree in Nursing
2 of the most recent 4 years’ working in an acute care setting
Proficient in word processing and PC based spreadsheet programs
Licensure, Registration, Certification:
One of the following:
- Current Alabama RN license
- Current Multi State RN License in accordance with Nurse Licensure Compact (NLC) for Alabama*
- Infirmary Health abides by the NLC requirements and guidelines for the state of Alabama
For specific areas CRRN (Certified Rehabilitation RN) is required (or eligibility)
Desired Qualifications:
BSN
Some background in management, clinical education or case management
Desired Licensure, Registration, Certification:
National certification applicable to area of clinical practice
Improves overall quality and completeness of clinical documentation by performing concurrent review of the medical record to ensure medical necessity and appropriateness of hospital admissions. Provides education to physicians and others to improve the capture of clinical severity for the level of service rendered. Identifies process improvement opportunities and supports the timely and accurate capture of measurements to improve patient outcomes.
