Care Management Utilization Review RN – PRN (WFH – OK, TX, AR, MO, KS)

About the Role

Emergency Medicine position at OU Health in Remote. Join a team focused on quality patient care with excellent work-life balance.

Work-Life Balance Factors

Remote/telehealth

Key Responsibilities

• Care Management Utilization Review RN
• OUMC Care Management
• Ask your recruiter about our new market leading rates!
• Precepts newly hired Nursing Utilization Review care managers.
• Maintains continuing Education with approved evidence
• Performs other duties as needed.

Requirements

• Education Requirements: Bachelor's Degree in Nursing required.
• Experience Requirements: A minimum of 3 years of Nursing experience is required, with Care Management experience preferred.
• Knowledge/Skills/Abilities Required
• Education Requirements: Bachelor's Degree in Nursing required

Benefits & Compensation

• The candidate must have open availability to provide needed coverage when employees are out on pto/leave/etc.
• solving abilities, using technology to safeguard HIPAA Protected Health Information.
• Conduct comprehensive assessments of patients' health status, medical history, and ongoing care needs utilizing Evidence based criteria tool.
• Coordinates with the Interdisciplinary healthcare team, Payors, patients and families to ensure appropriate status and Financial reimbursement.
• Provides education to patients and their families regarding their healthcare stay and appropriate status in compliance with mandated regulatory and financial expectations.
• Coordinates and facilitates communication between patients, families, healthcare providers, and Payor sources to optimize appropriate patient and healthcare system financial reimbursement outcomes.

Work Schedule

• SHIFT: PRN (As Needed)