Utilization Review Care Manager (RN)- Care Management

Job description

The Utilization Review is responsible for the direction, management and monitoring of activities related to Quality and Process Improvement, Case Management, Clinical Pathway Development, discharge planning for the Pathways System for Case Management . Other duties as assigned.
Education: Associates or Bachelors Degree in Nursing required. State RN License required.
Experience: Three to five years of health care management. A previous background in Case Management/Utilization Review. Knowledge of accepted Nursing procedures in designated patient populations as acquired through 5 years of clinical experience.
Knowledge of accounting, management and statistical principals. Knowledge and understanding of computer programs. . Demonstrates physical capabilities with pressure to meet deadlines and expectations.