Overview:
The Utilization Review team is comprised of highly skilled Registered Nurses who ensure Norman Regional Health System follows a compliant review process to determine appropriateness of admission.
Responsibilities:
Utilization Review, Utilization Management, Advocacy and Education
Clinical Analysis and Data Management
Clinical Care Management/Coordination
Resource Management
Transition Management and Denial Prevention
Utilization Management
Psychosocial Management
Assist with establishing and review of departmental metrics on annual basis or as needed to insure mission, vision and strategic plan of NRHS.
Qualifications:
Education
Diploma or Associate’s degree (ADN) required, Bachelor of Science in Nursing (BSN), or Master's of Science in Nursing (MSN) preferred.
Experience
3 years of acute RN experience required.
Prior Utilization Review experience preferred.
Current knowledge of medical necessity guidelines for hospitalization status preferred.
(Above requirements can be met by equivalent combination of education and experience)
Licensure/Certification
Current, RN license in the state of Oklahoma, Basic Life Support (BLS) training or retraining is required and must be maintained for the duration of employment.
Compensation/Benefits
$17.39-$28.40/hr depending on previous work experience.
Benefits include medical, dental, vision, short-term disability, long-term disability, life insurance, paid time off (PTO), paid holidays, tuition reimbursement, scholarship opportunities, retirement plans, free parking, and opportunities for advancement.
