RN Case Manager – Utilization Review

Job Description

RN Case Manager – Utilization Management

Description

All nursing practice is based on the legal scope of practice, national and specialty nursing standards, our Policies and Procedures, and in accordance with all applicable laws and regulations. The Professional Model of Care requires registered professional nurses to be responsible and accountable for their own practice. We support the development of RN relationships within the community; specifically those relationships associated with the health and well being of the community at large.

Qualifications

Minimum Education

Bachelor’s Degree (Required)

Minimum Work Experience

5 years With at least three in clinical nursing. At least one year experience in Utilization Management with knowledge of utilization review criteria. Experience in one or more of the following areas: case management, designated/pediatric specialty (Required)

Functional Accountabilities

• Professional Practice/Research
• Participate in Shared Leadership.
• Contribute to the MAGNET Journey
• Ensure that nursing practice is based on evidence of best practice.
• Accountable for participating in the Nursing Division’s Performance Improvement process (division or unit level).
• Participate in community activities.

Job Type: Full-time

Salary: $90,000.00 – $110,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Healthcare setting:

• Acute care
• Inpatient

Schedule:

• 8 hour shift
• Monday to Friday
• No weekends

Ability to Relocate:

• Washington, DC: Relocate before starting work (Required)

Work Location: In person

Earnings

90,000 - 110,000 salary

Category

Revenue Cycle