RN - Care Manager Utilization Review

Join a dynamic healthcare team in the Pacific Northwest as a Registered Nurse Care Manager specializing in Utilization Review. This role involves coordinating care and managing the utilization of services for patients in acute and post-acute skilled care settings. You will collaborate closely with interdisciplinary teams both inside and outside the organization to enhance patient outcomes and ensure cost-effective care.

Job Summary

As a vital member of the care team, you will continuously assess the appropriateness and timeliness of care levels, ensuring resources are used efficiently. Your daily activities include rounding with patients, conducting assessments, and facilitating smooth transitions from hospital to home or other care facilities. You will also identify and resolve discharge barriers, 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 is required.
• Bachelor's degree in Nursing and Care Manager Certification are preferred.

Skills and Abilities

• Strong organizational and prioritization skills.
• 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 tasks effectively.

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, tuition reimbursement, employee wellness programs, and more. The location provides access to numerous outdoor recreational activities such as hiking, kayaking, fishing, and cultural experiences in the Pacific Northwest region.