Jobs

    Utilization Review Manager - Nyack, United States - Tandym Group

    Tandym Group
    Tandym Group Nyack, United States

    2 weeks ago

    Tandym Group background
    Healthcare
    Description

    A growing health services network in New York is currently seeking an experienced, licensed Registered Nurse (RN) to join their Case Management team as a Utilization Review specialist. In this role, the Utilization Review Specialist (RN) will be responsible for assisting the team with utilization management and discharge planning

    About the Opportunity:

    • Schedule: Monday to Friday
    • Hours: 8:30am to 5pm
    • Specialty: Case Management

    Responsibilities:

    The Utilization Review Manager (RN) will:

    • Carries out activies related to utilization management, discharge planning and care coordination
    • Utilize data, trends and reports to proactively identify opportunities to improve processes and practice
    • Performs as an integral part of the interdisciplinary team promotion interdisciplinary collaboration.
    • Perform other duties, as needed

    Qualifications:

    • 3+ years of Clinical experience
    • Bachelor's Degree in Nursing
    • NYS Registered Nurse (RN) license
    • Managed Care experience with Utilization Review and Discharge Planning

    Desired Skills:

    • Certified in Case Management
    • PRI
    • Experience in a Emergency Room, Intensive Care, and/or Medical-Surgical setting

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