Utilization Management - Registered Nurse

Job description

Since 1887, Crouse Health has been a leading healthcare provider in Central New York. We’ve combined a family-friendly culture with a passion to provide the best care, which creates an environment where both patients and team members feel valued. Crouse Health offers a full range of general and specialty care, inpatient and outpatient services, as well as community health education and outreach programs.
Crouse’s Care Coordination Services team is hiring a Utilization Management Registered Nurse (RN) to track and manage data and client care as it relates to the utilization of services.
Pay Range: $80,000.00 - $85,000.00 / year
Utilization Management RNs are eligible for up to a $10,000 Sign-On Bonus !
Available Schedule(s):
• Full Time: 8:00am-4:30pm with occasional weekends (typically requires 6 weekends a year).

Utilization Management Registered Nurse (RN) Position Responsibilities:
• Works collaboratively with the multidisciplinary healthcare team to ensure the appropriate allocation of hospital resources while maintaining the quality of care.
• Demonstrates proficiency with standard Utilization Review processes.
• Responsible for concurrent and continued stay Utilization Management related reviews and functions and for ensuring that appropriate data is tracked, evaluated and reported.
• Progresses patients through the continuum of care based on their appropriate admission status.
• Maintains effective and efficient processes for determining appropriate admission status based on the regulatory and reimbursement requirements of various commercial and government payers.

Utilization Management Registered Nurse (RN) Position Requirements:
• Must have a current New York State Registered Nurse (RN) license.
• Graduate from an accredited nursing degree program required.
• Bachelor of Science degree in Nursing preferred.
• For RNs licensed in or after 2017, completion of a Bachelor’s of Nursing Degree will be required within 8 years of the date the license was obtained.
• Certification in a specialty area preferred.
• Three (3) - Five (5) years acute hospital experience.
• Case Management or Utilization Management experience preferred.

Benefits Overview:
• Medical, Dental, Vision, FSA, and 401K.
• Company paid life insurance.
• Tuition Assistance and Workforce Development Opportunities.
• Crouse Health Employee Assistance Program.
• Employee discounts on any Inpatient or Outpatient service, hospital cafeteria and pharmacy, and certain retailers.
• YMCA Subsidy program.
• Clinical Nursing Pathway Program for Registered Nurses designed to foster career growth and progression. Learn more here: https://www.crouse.org/nursingpathway/