Manager Utilization Review - FT - Day - Utilization Resource Mgmt Trenton NJ

Position Overview

Performs a variety of utilization review activities to promote quality, clinical and cost-effective outcomes, including evaluation of length of stay and resource consumption. Manages activities of assigned staff in the process of providing utilization review. Plans, assigns, reviews and evaluates the work of assigned staff to achieve quality patient care, to operate in a fiscally responsible manner, to achieve operational efficiency and to adhere to established policies, practices, and procedures. Identifies opportunities and takes a leadership role in departmental performance improvement activities.

Minimum Requirements

• Education: Bachelor of Science in Nursing (BSN).
• Experience: Four years of experience in nursing, including experience in the case management field in utilization review, discharge planning, outcomes management, assessment, care planning and/or care coordination when accompanied by a BSN.
• Other Credentials: Registered Nurse - NJ

Knowledge and Skills

• Excellent interpersonal, communication and negotiation skills with ability to convey understanding of complex issues.
• Ability to interpret a variety of instructions furnished in written or oral form.
• Strong organizational and time management skills.
• Strong leadership, motivational and team building skills.
• Analytical and data management skills.

Special Training

• Analytical and data management skills.

Mental, Behavioral And Emotional Abilities

• Usual Work Day: 8 Hours
• Reporting Relationships: Does this position formally supervise employees? Yes

Physical Demands and Work Environment

• Frequent physical demands include: Sitting, Standing, Walking, Carry objects, Wrist position deviation, Pinching/fine motor activities, Keyboard use/repetitive motion.
• Occasional physical demands include: Climbing (e.g., stairs or ladders), Push/Pull, Twisting, Bending, Reaching forward, Reaching overhead, Squat/kneel/crawl.
• Continuous Physical Demands Include: Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.
• Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Color Discrimination, Minimal Depth Perception, Minimal Hearing.
• Anticipated Occupational Exposure Risks Include the following: Bloodborne Pathogens, Chemical, Airborne Communicable Disease, Extreme Temperatures.

Benefits

• Medical Plan
• Prescription drug coverage & In-House Employee Pharmacy
• Dental Plan
• Vision Plan
• Flexible Spending Account (FSA)
• Healthcare FSA
• Dependent Care FSA
• Retail Savings and Investment Plan
• Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
• Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
• Disability Benefits – Long Term Disability (LTD)
• Disability Benefits – Short Term Disability (STD)
• Employee Assistance Program
• Commuter Transit
• Commuter Parking
• Supplemental Life Insurance
• Voluntary Life Spouse Voluntary Life
• Employee Voluntary Life
• Child Voluntary Life
• Voluntary Legal Services
• Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
• Voluntary Identity Theft Insurance
• Voluntary Pet Insurance
• Paid Time-Off Program