Clinical Utilization Review Nurse Preceptor / RN

Overview

Be inspired. Be rewarded. Belong. At Emory Healthcare. We provide comprehensive health benefits starting day one, including student loan repayment assistance, family-focused benefits, wellness incentives, ongoing mentorship, and leadership programs.

Job Description

The Clinical Utilization Review Nurse Preceptor (UR RN Preceptor) will train, mentor, and coach the Utilization Review Department. They must be an expert in utilization review functions and be able to cover any role as needed. The UR RN Preceptor will facilitate compliance, support departmental education, and partner with Case Management leaders to ensure policies and procedures are consistently updated.

• Facilitate efforts to support compliance and adherence to standard work, policies and procedures, clinical criteria guidelines, status designation, notification and authorization, compliance and regulatory standards, and case management systems.
• Support the team in meeting key performance metric indicators for the department.
• Remain up-to-date with industry standards, regulatory and compliance standards/updates, and best practices within the industry.
• Develop and execute individualized training plans as needed based on audits.
• Ensure all training materials are organized, updated, and readily available for reference.
• Ensure yearly and new competencies/validations are completed and filed for employees.
• Partner with Physician Advisors to optimize roles and ensure continuous improvement.
• Coordinate with Case Management leaders to ensure policies, procedures, and standard work are consistently updated and maintained.
• Provide direct coverage/support to leaders as necessary.

Minimum Qualifications

• A valid, active unencumbered Nursing license or temporary permit approved by the Georgia Licensing Board.
• Bachelor’s degree in nursing required. Master’s degree in Nursing, Education, or related field preferred.
• 3-5 years recent healthcare experience.
• 3-5 years experience in Utilization Review (UR).
• Minimum 1 year as UR RN II or equivalent experience.
• Case Management certification preferred.

Physical Requirements

• Up to 25 lbs, 0-33% of the work day (occasionally)
• 11-25 lbs, 34-66% of the workday (frequently)
• 01-10 lbs, 67-100% of the workday (constantly)
• Lifting 25 lbs max
• Carrying of objects up to 25 lbs
• Occasional to frequent standing & walking
• Occasional sitting
• Close eye work (computers, typing, reading, writing)

Environmental Factors

• Factors affecting environment conditions may vary depending on the assigned work area and work tasks.
• Environmental exposures include, but are not limited to:
• Biological hazards (blood-borne pathogens, bio-hazardous waste)
• Chemicals/gases/fumes/vapors
• Communicable diseases
• Electrical shocks
• Floor surfaces
• Hot/Cold temperatures
• Indoor/Outdoor conditions
• Latex
• Lighting
• Patient care/handling injuries
• Radiation
• Shift work
• Travel may be required
• Use of personal protective equipment, including respirators

Additional Details

Emory is an equal opportunity employer, and qualified individuals with disabilities will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law. Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at careers@emoryhealthcare.org. One week's advance notice is preferred.