Utilization Review Nurse Jobs

Samaritan Health Services

Req #: 64695

Corvallis, OR

.5 (40 hrs/pp) - Varies

SHS Utilization Management

Remote Status: No

Salary Range: $40.88 - $60.03

• Experience and/or training in health care, health care delivery systems, managed care and a basic knowledge of utilization review, case management and health information systems required.
• Business Writing - Strong business writing skills, including the ability to professionally communicate clinical content in written/typed documentation that is easily understood by the end user. Ability to use a computer for required documentation.
• Experience and/or training in computer applications required. Typing speed of 35 wpm preferred.
• Acute care utilization review, discharge planning or case management experience preferred.
• Utilization Review or Case Management Certification preferred.
• Three (3) years RN experience required.
• Baccalaureate Degree in Nursing preferred.
• Social Perceptiveness - Ability to work with a diverse population from pediatrics to geriatrics. Basic understanding of age-related differences in caring for and/or communicating with patients and caregivers. Possess personal sensitivity to the needs and experiences of others and a non-judgmental attitude towards persons of differing standards, values, lifestyles, and ages.
• Communication - Effective written and oral communication skills to explain complex medical and regulatory issues, exchange information between team members, and tactfully discuss utilization management and compliance concepts. Ability to listen and understand complex information and ideas.
• Compliance - Ability to evaluate information to determine compliance with laws, regulations, or standards. Uses clinical and regulatory knowledge to determine compliant process application.
• Experience and/or training in insurance benefits or covered services including Medicare and Medicaid required.
• Time Management - Ability to organize, plan and prioritize work to complete within required time frames and to follow-up on pending issues. Ability to perform multiple tasks simultaneously and thrive in dynamic fast-paced environments and under pressure.
• Current unencumbered Oregon Registered Nurse license required.
• Three (3) years hospital nursing experience preferred.