Utilization Review Registered Nurse id-10953
About the position
The Utilization Review Registered Nurse at BJC HealthCare is responsible for ensuring the appropriate and efficient use of hospital resources while providing safe and quality care. This role involves evaluating the cost and quality of medical services, educating healthcare providers on resource utilization, and using clinical skills to assess patient care levels. The position is primarily remote, requiring the nurse to live within an hour of the BJC Learning Institute in St. Louis.
Responsibilities
- Review and interpret diagnostic test results to determine appropriateness of patient's level of care.
- Use Interqual Criteria to determine level of care for elective inpatient hospitalizations.
- Evaluate potential under and over-utilization of services based on patient presentation and documentation.
- Educate medical providers and healthcare professionals on cost-effective use of healthcare resources.
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Requirements
- Registered Nurse (RN) License in Missouri and Illinois
- Bachelor's degree in Nursing preferred
- 2 years of experience in a hospital setting
- 2 years of experience in utilization review (UR)
- Strong analytical skills
- Experience with EPIC is a plus
Nice-to-haves
- Bachelor's degree in Nursing
- Experience in a hospital or insurance company
Benefits
- Disability insurance
- Dental insurance
- Flexible spending account
- Tuition reimbursement
- Paid time off
- Adoption assistance
- Work from home
- 401(k) matching
- 403(b)
- Life insurance