Utilization Review Registered Nurse - Hybrid

City / State

Norfolk, VA

Work Shift

First (Days)

Overview :

Sentara Health is hiring a Full-Time Day shift

Utilization Review RN Case Management

for the Revenue Cycle Center in Norfolk, VA.

The position is located in Norfolk, VA and currently offering a hybrid opportunity.

As a Utilization Review Nurse / Integrated Care Manager RN with Sentara, you work together intensely with the patients, families, and members of the medical team to provide patients with the resources they need and help prevent them from being readmitted to the hospital. This position's primary duty is customizing what is best for the patients. That would include helping with things like home health, long-term care placement, home medical equipment, and homeless and community resources. You will find that teamwork is exceptional, with everyone working together to ensure the best care for our patients.

Click https : / / youtu.be / 3BE5pC5IfYo to hear Meredith tell us about a day in the life of a Utilization Review RN / Integrated Care Manager with Sentara Health.

• As a Utilization Review Nurse specializing in Utilization review, the registered nurse will be responsible for utilization review services within the scope of licensure.
• Conducts primary function of prior authorization for inpatient and outpatient reviews both initial and concurrent continued stay review.
• Reviews for appropriateness of treatment setting to ensure compliance with applicable criteria, and regulatory requirements.
• Responsible for written and / or verbal communication of pertinent clinical information.

Education

Certification / Licensure

Experience

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We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is : $76,731.20-$127,878.40. Additional compensation may be available for this role such as shift differentials, standby / on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Benefits : Caring For Your Family and Your Career

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

In support of our mission "to improve health every day," this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs associates in the following states :

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.