Registered Nurse Concurrent Utilization Review

Join to apply for the Registered Nurse Concurrent Utilization Review role at Tucson Medical Center 1 day ago Be among the first 25 applicants Join to apply for the Registered Nurse Concurrent Utilization Review role at Tucson Medical Center Get AI-powered advice on this job and more exclusive features. Demonstrates fiscal responsibility related to patient needs, resource utilization, payer requirements and organizational goals. Screens patients for admission criteria (medical necessity/patient status/level of care) utilizing InterQual criteria and documenting the review in the CERME software system. Conducts reviews as established by CMS guidelines and Utilization Management processes. Secures authorization/certification for services by communicating necessary and requested information with payors. Communicates information that will impact the discharge plan to the Transitional Care Coordinator and Case Managers to ensure high quality care coordination. This position covers Fri/Sat/Sun from 9am to 9pm. Tucson Medical Center (TMC) is Tucson’s only non-profit community owned hospital. Employees choose to work at TMC because of our of integrity, community, dedication, and compassion which we show through the exceptional care we provide to our patients and our community. Our passion for caring for the Tucson community has expanded over the last to include community partnerships, new medical specialties, and medical clinics to further provide the care our community deserves. Why Join Tucson Medical Center? Benefits We don’t only care for our patients, we care for our TMC family too. As a member of our family you can expect to enjoy a wide variety of benefits. In addition to all the benefits you would expect from a leading medical facility (medical, dental, vision, 401K with match) we also provide: Family Style Atmosphere with a Supportive Team Competitive Pay Career Growth Opportunities Tuition Reimbursement Health and Wellness Coaching Minimum Qualifications EDUCATION: Graduation from a qualified, nationally-accredited nursing program required. Bachelor’s degree preferred. EXPERIENCE : Three (3) years RN nursing experience, preferably in an acute care setting. Three (3) years experience working in a case management or utilization review role preferred. LICENSURE OR CERTIFICATION : Active unrestricted RN license within the State of Arizona, or NLC. Seniority level Seniority level Mid-Senior level Employment type Employment type Full-time Job function Job function Health Care Provider Industries Hospitals and Health Care Referrals increase your chances of interviewing at Tucson Medical Center by 2x Sign in to set job alerts for “Registered Nurse” roles. Travel Nurse RN - Endoscopy - $2,221 to $2,374 per week in Tucson, AZ Travel Nurse RN - PCU - $2,103 to $2,256 per week in Tucson, AZ Travel Nurse RN - PICU - $2,250 to $2,394 per week in Tucson, AZ Travel Nurse RN - PICU - $2,184 to $2,363 per week in Tucson, AZ Tucson, AZ $65,000.00-$70,000.00 2 weeks ago Travel Nurse RN - $1,455 to $1,604 per week in Tucson, AZ Travel Nurse RN - NICU - $1,455 to $1,604 per week in Tucson, AZ Tucson, AZ $85,000.00-$95,000.00 2 months ago Tucson, AZ $61,340.00-$100,360.00 3 weeks ago Travel Nurse RN - NICU - $1,397 to $1,486 per week in Tucson, AZ Travel Nurse RN - Labor/Delivery - $2,855 to $3,008 per week in Tucson, AZ Oro Valley, AZ $90,000.00-$105,000.00 1 month ago Registered Nurse (RN) - Behavioral Health Tucson, AZ $90,000.00-$105,000.00 1 month ago Registered Nurse - PreOp/PACU - Part Time We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr