What are the responsibilities and job description for the Utilization Review Nurse position at UNC Health?
Description
Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.
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
Other information:
Education Requirements
Graduate from an accredited school of nursing, BSN preferred.
Professional Experience Requirement
Five (5) years of health care experience as a Registered Nurse.
LICENSURE/REGISTRATION/CERTIFICATION
Licensed to practice as a Registered Nurse in the state of North Carolina.
Knowledge, Skills And Abilities Requirements
Strong assessment and critical thinking skills.
PHYSICAL REQUIREMENT
Standing, Walking, Sitting, Reaching, Talking, Seeing, Hearing, Tasting, Smelling, Carrying, Pushing, Pulling, Lifting, and Moving.
Job Details
Legal Employer: Lenoir Health
Entity: UNC Lenoir Health Care
Organization Unit: Care Management
Work Type: Per Diem
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: Variable
Location of Job: US:NC:Kinston
Exempt From Overtime: Exempt: No
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.
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
Other information:
Education Requirements
Graduate from an accredited school of nursing, BSN preferred.
Professional Experience Requirement
Five (5) years of health care experience as a Registered Nurse.
LICENSURE/REGISTRATION/CERTIFICATION
Licensed to practice as a Registered Nurse in the state of North Carolina.
Knowledge, Skills And Abilities Requirements
Strong assessment and critical thinking skills.
PHYSICAL REQUIREMENT
Standing, Walking, Sitting, Reaching, Talking, Seeing, Hearing, Tasting, Smelling, Carrying, Pushing, Pulling, Lifting, and Moving.
Job Details
Legal Employer: Lenoir Health
Entity: UNC Lenoir Health Care
Organization Unit: Care Management
Work Type: Per Diem
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: Variable
Location of Job: US:NC:Kinston
Exempt From Overtime: Exempt: No
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
Salary : $32 - $39