Registered Nurse Utilization Review, Case Management, FT, 8:30A-5P

Degrees:

• Associates.

Licenses & Certifications:

• MCG Care Guidelines Specialist.
• Registered Nurse.

Additional Qualifications:

• RNs hired prior to 2-2012 (10/1/2017 at Bethesda or 7/1/2019 at BRRH) with an Associates Degree in Nursing are not required to have a BSN to continue their non-leadership role as an RN.
• however, they are required to complete the BSN within 3 years of job entry date.
• MCG Specialist Certification ISC/HRC required within 12 months of job entry date.
• 3 years of Nursing experience preferred.
• Excellent written, interpersonal communication and negotiation skills.
• Strong critical thinking skills and the ability to perform clinical/chart review abstract information efficiently.
• Strong analytical, data management and computer skills.
• Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components.
• Current working knowledge of payer and managed care reimbursement preferred.
• Ability to work independently and exercise sound judgment in interactions with the health care team and patients/families.
• Knowledgeable in local, state, and federal legislation and regulations.
• Ability to tolerate high volume production standards.

Minimum Required Experience: 3 Years

EOE, including disability/vets