Utilization Review Nurse (PRN), Utilization Review
Company: CarolinaEast Health System
Location: Beulaville
Posted on: June 19, 2022
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Job Description:
About CarolinaEast Medical CenterCarolinaEast Health System is
dedicated to quality and compassionate care across the Coastal
Carolina region. The flagship of the health system is a 350 bed
full service medical center housing a complete complement of
inpatient and outpatient services with the latest technology.
CarolinaEast Health System employs 2,500 dedicated team members. We
have physician practices in various specialties spanning four
counties. Our employees create a culture of excellence that
connects our patients to the same level of care that is usually
found at larger medical centers while maintaining a friendly,
community feel throughout our facilities. CarolinaEast offers a
comprehensive benefits package to all full time employees as well
as benefits to part time plus and part time employees.Job Summary:
Under the direction of the Utilization Review Manager and Physician
Advisor, the Utilization Review Registered Nurse (UR-RN) assists in
administration of utilization review functions. The UR RN will
validate the documentation contained in the medical record. The UR
RN will apply utilization review criteria, clinical
knowledge/assessment, and application of payer specific
rules/guidance to determine appropriateness of inpatient and
observation services.Minimum Requirements: Graduate from an
accredited School of Nursing. Current RN license with North
Carolina State Board of Nursing. Minimum of five years of clinical
experience preferred. Insurance/payer experience/prior utilization
review experience preferred. Ability to work independently. Good
written, oral communication and analytical skills required. Ability
to research, interpret, and develop recommendations. Ability to
perform and complete multiple tasks within reasonable time
constraints. Possess computer skills including Microsoft Word,
Excel or other word processing software.Salary Min: $25.42Salary
Max: $39.41
Keywords: CarolinaEast Health System, Jacksonville , Utilization Review Nurse (PRN), Utilization Review, Healthcare , Beulaville, North Carolina
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