RN Utilization Management - Full-Time

Job Description : Employment TypeFull timeShiftDay ShiftDescriptionWe 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.St. Peter's Hospital is a member of Trinity Health. Trinity Health employs more than 120,000 colleagues at dozens of hospitals and hundreds of health centers in 21 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.Registered Nurse Professional Utilization Management Nurse - St. Peter's Hospital Full-TIme If you are looking for an RN position in Case Management and a regular Monday-Friday schedule is your preference, this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places.Position HighlightsRecognized leader : Magnet Hospital in the Capital RegionQuality of Life : Where career opportunities and quality of life convergeAdvancement : Strong orientation program, generous tuition allowance and career developmentWork / Life : Positions and shifts to accommodate all schedulesWhat You Will DoPerform 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. ResponsibilitiesResponsible 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 outcoes are achieved and high quality professional practice is realized. What You Will NeedMinimum requirements : Current and valid NYS RN licenseBachelor of Science in nursing, or willingness to purse defined plan for matriculation in program demonstrated by ongoing course work each semesterBLS certification2 years of experience in acute setting or one year in community healthPreferred requirements : Discharge planning and community resource knowledgeBasic knowledge of the utilization management processWorking 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 responsibilitiesCritical thinking skills to problem solveExcellent time management and organizational skillsHigh level of efficiency to communicate in a fast pace work environmentEngage within a team setting to help promote a strong team cultureThe 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 wonderful opportunity to progress in their nursing career.Our Commitment to Diversity and InclusionTrinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is 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, status as a protected veteran, or any other status protected by law.00570876