Position Overview
*_SUMMARY:_*
We are currently seeking a*Staff Nurse*to join our Utilization Management department for the/Emergency Department /
This position is a*0.6 FTE (6 shifts/ pay period), 8-hour shifts, Days, with up to Every Other Weekend rotation. Note:***Note:**/C//urrent weekend assignment is typically every 2-3 weeks however is*subject to change*based on staffing needs and may require up to*Every Other Weekend*coverage/.
*_SPECIFIC RESPONSIBILITIES:_*
The Utilization Review (UR) Registered Nurse is responsible for evaluating the medical necessity,appropriateness, and efficiency of the use of healthcare services, procedures, and facilities. The RN conducts timely reviews of inpatient and outpatient medical records to determine the appropriateness of admissions, continued stays, and the level of care using established criteria and guidelines (lnterQual). This role collaborates with healthcare providers, patients, payers, and internal departments to ensu...