Utilization Review Registered Nurse_Days
Sentara HospitalsCity/State
Norfolk, VAWork Shift
First (Days)Overview:
Integrated Care Manager RN -Days
As an integrated care manager, specializing in Utilization review, the registered nurse will be responsible for utilization review services within the scope of licensure. Conducts primary function of prior authorization for inpatient and outpatient reviews both initial and concurrent continued stay review. Reviews for appropriateness of treatment setting to ensure compliance with applicable criteria, and regulatory requirements. Responsible for written and /or verbal communication of pertinent clinical information.
Virginia Remote, must be available to come into Virginia Beach office as required
Required:
- Minimum of 3 years acute care experience
- Registered Nurse
- Required – Verbal and Written Communication, Critical Thinking, Proficiency with basic computer skills
Certification :
- VA RN License (VABON) or North Carolina RN License (NCBON)
Education:
- RN diploma, RN Associate Degree, RN Bachelor Level Degree or RN Master Level
keywords: LinkedIn, Nursing Acute Care, Full Time, Case Management, RN, Registered Nurse, BSN, ASN, utilization review, patient accounts, revenue cycle, Talroo-Nursing, utilization review
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.