ACRN | Acute Care Registered Nurse - Utilization Review

ACRN | Acute Care Registered Nurse - Utilization Review

Join a dynamic healthcare team in the Pacific Northwest region as an Acute Care Registered Nurse specializing in Utilization Review and Care Management. This role involves coordinating care and optimizing resource use for patients in acute and post-acute skilled settings. You will collaborate closely with interdisciplinary teams to ensure patient-centered, cost-effective care that aligns with clinical and financial goals.

As a vital member of the care team, you will continuously evaluate the appropriateness and timeliness of care levels, ensuring efficient use of resources. Your responsibilities include assessing ongoing hospitalization needs, facilitating smooth transitions from hospital to home or other care facilities, and addressing discharge barriers. You will also provide clear documentation and support peer-to-peer reviews for concurrent denials.

Education and Experience

• Minimum of 2 years of Registered Nursing experience in acute care or care management/utilization review.
• Current RN license valid in the region or multistate license.
• BLS certification required.
• Bachelor's degree in Nursing and Care Manager Certification are preferred.

Skills and Abilities

• Strong organizational and prioritization skills to manage multiple tasks effectively.
• Excellent written and verbal communication tailored to diverse audiences.
• Proficiency with technology and software, including intermediate to advanced Microsoft Office skills.
• Ability to maintain confidentiality and accurate documentation.
• Demonstrated teamwork, collaboration, and customer service skills in fast-paced environments.
• Independent problem-solving and sound judgment to complete assignments efficiently.

Work Environment and Benefits

This full-time exempt position offers a supportive work environment with opportunities for professional growth. Benefits include competitive compensation, comprehensive medical, dental, and vision coverage, retirement plans with employer contributions, employee assistance programs, tuition reimbursement, wellness initiatives, and access to on-site fitness facilities. The role is based in a regional healthcare setting known for its commitment to community health and patient access.