RN Utilization Management - Per diem at Trinity Health

City of Albany, New York, United States -

Full Time

Start Date

Immediate

Expiry Date

26 Jun, 26

Salary

50.18

Posted On

28 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Utilization Management, Concurrent Review, Retroactive Review, Inpatient Services, Outpatient Services, Length Of Stay Management, Level Of Care Management, JCAHO Compliance, Third Party Payor Contracts, Discharge Planning, Critical Thinking, Time Management, Organizational Skills, Customer Service, Teamwork

Industry

Hospitals and Health Care

Description

Employment Type: Part time Shift: Day Shift Description: Samaritan Hospital in Troy, NY is looking for an experienced RN to work as a Registered Professional Utilization Management Nurse (UMRN). Shift: 8 hrs The team is willing to help train the right candidate as long as they meet the minimum requirements and have the desire and ability to learn and grow into this wonderful opportunity to progress in their nursing career. We at St. Peter’s Health Partners recognize that nursing is one of the most challenging careers and the most rewarding. We work with nurses to ensure that their professional experiences meet the expectations they had when they chose nursing. We recognize the crucial role you play in the care of every patient treated and we have worked hard to ensure that you find the professional culture, the career support, medical resources and the career opportunities you’re seeking. St. Peter’s Hospital is a member of Trinity Health. Trinity Health employs more than 120,000 colleagues at dozens of hospitals and hundreds of health centers in 21 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions. The selected candidate will: Be responsible for the utilization management, both concurrent and retroactive for inpatient and outpatient services in accordance with the utilization program which meets the requirements of JCAHO and third party payor contracts. Be responsible for the length of stay and level of care to provide effective and efficient health care services that best serve the needs of the patient. Work within and contribute to an environment where the mission is actualized, patient focused outcomes are achieved and high quality professional practice is realized. Minimum requirements: Current and valid NYS RN license Bachelor of Science in nursing, or willingness to purse defined plan for matriculation in program demonstrated by ongoing course work each semester BLS certification 2 years of experience in acute setting or one year in community health Must have some week day availability to orient Preferred requirements: Discharge planning and community resource knowledge Basic knowledge of the utilization management process Working knowledge of recognized industry clinical standards, i.e. Interqual, Milliman Care Guidelines. Maintain the highest level of customer service while completing day to day duties and responsibilities Critical thinking skills to problem solve Excellent time management and organizational skills High level of efficiency to communicate in a fast pace work environment Engage within a team setting to help promote a strong team culture Passion to learn, grow and develop in the nursing field Pay Range: $38.00hr-$50.18hr Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Responsibilities

The selected candidate will be responsible for concurrent and retroactive utilization management for inpatient and outpatient services, ensuring compliance with utilization programs, JCAHO requirements, and third-party payor contracts. This role also involves managing the length of stay and level of care to deliver effective and efficient healthcare services that meet patient needs.