Posted 2mo ago

Utilization Management - Registered Nurse (RN)

@ Crouse Health
Syracuse, New York, United States
$80k-$90k/yrOnsiteFull Time
Responsibilities:Collaborating team, Reviewing data, Determining status
Requirements Summary:NY RN license required; BSN preferred; 3-5 years acute hospital experience; Utilization/Case Management experience preferred; specialty certification preferred.
Technical Tools Mentioned:Electronic Health Records, Utilization Management systems
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Job Description


Since 1887, Crouse Health has been a leading healthcare provider in Central New York. We’ve combined a family-friendly culture with a passion to provide the best care, which creates an environment where both patients and team members feel valued. Crouse Health offers a full range of general and specialty care, inpatient and outpatient services, as well as community health education and outreach programs.



Crouse’s Care Coordination Services team is hiring a Utilization Management Registered Nurse (RN) to track and manage data and client care as it relates to the utilization of services.



Pay Range: $80,000.00 / year + based on education & experience



Utilization Management RNs are eligible for up to a $10,000 Sign-On Bonus!



Available Schedule(s):




  • Full Time: 8:00am-4:30pm with occasional weekends (typically requires 6 weekends a year).



Utilization Management Registered Nurse (RN) Position Responsibilities:




  • Works collaboratively with the multidisciplinary healthcare team to ensure the appropriate allocation of hospital resources while maintaining the quality of care.

  • Demonstrates proficiency with standard Utilization Review processes.

  • Responsible for concurrent and continued stay Utilization Management related reviews and functions and for ensuring that appropriate data is tracked, evaluated and reported.

  • Progresses patients through the continuum of care based on their appropriate admission status.

  • Maintains effective and efficient processes for determining appropriate admission status based on the regulatory and reimbursement requirements of various commercial and government payers.



Utilization Management Registered Nurse (RN) Position Requirements:




  • Must have a current New York State Registered Nurse (RN) license.

  • Graduate from an accredited nursing degree program required.

  • Bachelor of Science degree in Nursing preferred.

    • For RNs licensed in or after 2017, completion of a Bachelor’s of Nursing Degree will be required within 8 years of the date the license was obtained.



  • Certification in a specialty area preferred.

  • Three (3) - Five (5) years acute hospital experience.

  • Case Management or Utilization Management experience preferred.



Benefits Overview:




  • Medical, Dental, Vision, FSA, and 401K.

  • Company paid life insurance.

  • Tuition Assistance and Workforce Development Opportunities.

  • Crouse Health Employee Assistance Program.

  • Employee discounts on any Inpatient or Outpatient service, hospital cafeteria and pharmacy, and certain retailers.

  • YMCA Subsidy program.

  • Clinical Nursing Pathway Program for Registered Nurses designed to foster career growth and progression. Learn more here: https://www.crouse.org/nursingpathway/