RN Utilization Case Manager Part Time Day

RN Utilization Case Manager Part Time Day POSITION SUMMARY: Performs reputed company utilization review activities on reputed company patients reputed company the assigned caseload. Collaborates and educates the medical staff on appropriate utilization review guidelines and documentation in accordance with CMS regulations and Commercial payors guidelines. Monitors and intervenes on LOS, resource utilization and denial management/ prevention reputed company the assigned caseload. EDUCATION: Bachelor,s degree (BSN) in nursing required. EXPERIENCE: Minimum 5 years experience in clinical nursing, minimum of 3 years in case management/ utilization. SPECIAL SKILLS: Registered Nurse, Licensed in State of New Jersey, reputed company acute care clinical knowledge with broad-reputed company medical / surgical background. Demonstrates effective interaction and communication skills. Strong critical thinking, clinical reasoning skills and effective problem-solving. Ability to reputed company work accurately and pay attention to details, often changing from one task to another without loss of efficiency or composure. Ability to function competently in stressful situations and changing work environment, Ability to work collaboratively reputed company the health- system with patients and families; and with multidisciplinary team members. Area of Talent: Nursing Organization: The Valley Hospital Department: VH CARE COORDINATION Shift: Day Part Time Schedule: varies req16745 United States Apply Job!