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Remote - Utilization Review Nurse PRN

Job Description - Remote - Utilization Review Nurse PRN

Find your calling at Mercy!

Overview
Utilization Management for the assigned inpatient Care Management population. This position is designed to facilitate an effective process of the Mercy Care Management model; supporting quality patient care, safety and financial components; promoting integration of a seamless care model; assisting with patient throughput; collaborating to include coordination as evidenced by metrics, optimizing performance and adoption of best practice

Position Details:

Qualifications
Education: Graduate of an accredited school of nursing.

Licensure: Current license in the state of residence and/or employment


Experience: 2-3 years acute care hospital setting


Other: Must have the ability to work independently and meet deadlines, giving attention to detail and follow up.

Excellent time management skills, organizational skills, able to coordinate multiple tasks and prioritize work.

Must have a good understanding of medical terminology with the ability to read, discuss and understand patient medical information.

Excellent verbal and written communication skills, particularly telephone

Advanced computer skills and have the ability to interact effectively with a variety of people and situations at all levels of the organization.

Preferred Experience: Care Management or Utilization Review experience,
Preferred Certifications: Case Management or Utilization Review, Preferred
 

Why Mercy?

From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.

Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.

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