RN Utilization Manager (PRN)

Scheduled Weekly Hours

TBD

Work Shift

0800 - 1700 (flexible)

Summary of the Job

The Utilization Manager is responsible to assist in the development, planning, coordination, and administration of the activities of Utilization Management. Job responsibilities include but are not limited to the following: daily review of medical records to determine appropriateness and medical necessity of admission, continued stay, use of resources, and discharge readiness. Assumes responsibilities delegated by the Department Head.

Minimum Qualifications

• Graduate of accredited school of Nursing and maintains current R.N. licensure by the Louisiana State Board of Nursing.
• Five years of hospital nursing experience preferred.
• Experience in the field of Utilization Management activities highly preferred.
• Basic understanding of CPT-ICD-9 coding principles and DRG management preferred.

Physical Demands

• Must possess good physical health.
• Some requirements include but are not limited to standing, sitting or walking for long periods of time.
• Lifting at least 10 pounds is required.

Knowledge and Skills

• Ability to demonstrate effective written and verbal communication skills and possess emotional and professional maturity.
• Highly organized and efficient in establishing priorities and performing tasks within specific timeframes.
• Self-motivator requiring minimal supervision.
• Views problems as a challenge and investigates alternatives which demand creativity, flexibility and the ability to work under stress.
• Maintains strict confidentiality of all verbal & written information and documents.
• Knowledgeable in the Utilization Management review process.

Contact Information

Jennifer Saint, HR Talent Partner
Talent Acquisition - Human Resources