What are the responsibilities and job description for the Utilization Review Nurse position at UNC Health?
Description
Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.
Summary
This position facilitates utilization management processes to support the right care is provided at the right place at the right time. To accomplish these goals, the UR, Nurse applies established criteria to evaluate the appropriateness of admission, level of care, continued hospitalization and readiness for care transition; assures timely movement of patients throughout the continuum of care by conducting concurrent review and proactively resolving care, service, or transition of care delays/issues as necessary; in collaboration with the care team. This position provides third-party payers clinical information to assure reimbursement; and coordinating care with the treatment team, patient, family, and others. Communicates with physicians for appropriate documentation to support authorization of services.
Responsibilities
Patients/Families, Hospital staff, Medical staff, Community agencies, and Insurance Companies are served by conducting interpersonal relationships in a manner that projects a positive image of the department and hospital. All contacts with customers are friendly, helpful and courteous.
Other Information
Qualifications
Education Requirements
Legal Employer: Lenoir Health
Entity: UNC Lenoir Health Care
Organization Unit: Care Management
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $32.48 - $38.98 per hour (Minimum to Midpoint )
Pay offers are determined by experience and internal equity
Work Assignment Type: Onsite
Work Schedule: Day Job
Location of Job: US:NC:Kinston
Exempt From Overtime: Exempt: No
Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.
Summary
This position facilitates utilization management processes to support the right care is provided at the right place at the right time. To accomplish these goals, the UR, Nurse applies established criteria to evaluate the appropriateness of admission, level of care, continued hospitalization and readiness for care transition; assures timely movement of patients throughout the continuum of care by conducting concurrent review and proactively resolving care, service, or transition of care delays/issues as necessary; in collaboration with the care team. This position provides third-party payers clinical information to assure reimbursement; and coordinating care with the treatment team, patient, family, and others. Communicates with physicians for appropriate documentation to support authorization of services.
Responsibilities
Patients/Families, Hospital staff, Medical staff, Community agencies, and Insurance Companies are served by conducting interpersonal relationships in a manner that projects a positive image of the department and hospital. All contacts with customers are friendly, helpful and courteous.
Other Information
Qualifications
Education Requirements
- Graduate from an accredited school of nursing, BSN preferred.
- Five (5) years of health care experience as a Registered Nurse.
- Licensed to practice as a Registered Nurse in the state of North Carolina.
- Strong assessment and critical thinking skills.
- Standing, Walking, Sitting, Reaching, Talking, Seeing, Hearing, Tasting, Smelling, Carrying, Pushing, Pulling, Lifting, and Moving.
Legal Employer: Lenoir Health
Entity: UNC Lenoir Health Care
Organization Unit: Care Management
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $32.48 - $38.98 per hour (Minimum to Midpoint )
Pay offers are determined by experience and internal equity
Work Assignment Type: Onsite
Work Schedule: Day Job
Location of Job: US:NC:Kinston
Exempt From Overtime: Exempt: No
Salary : $32 - $39
