Sr. Inpatient Utilization Management Nurse

Job Description

Job Description

Community Health Network of Connecticut, Inc. (CHNCT) is currently seeking two (2) Sr. Inpatient Utilization Management Nurses to join our team.

Primary Responsibilities :

• Perform Utilization Review of admissions and / or continuing inpatient stay by utilizing standardized clinical criteria as well as the DSS contractual definition of Medical Necessity.
• Discuss clinical reviews with Medical Reviewers as needed.

Tasks Performed :

Essential Functions :

Desired Education : Two to four years post-secondary schooling

Desired Degree : Bachelor's degree preferred

Desired Major : Nursing

Desired Job Experience : Three to five years' related experience with at least three years of clinical experience. Managed care experience preferred.

Other Qualifications : Experience with InterQual criteria preferred. Knowledge of Medicaid preferred. Strong verbal and written communication skills. Excellent organizational skills, ability to manage multiple priorities concurrently. Strong computer and keyboard skills. Ability to exercise independent and sound judgment in decision making. Team player. Connecticut RN license must be current and unrestricted.

Certifications Required : Active Registered Nurse License

CHNCT Offers Great Benefits :

We are dedicated to having a workplace where everyone feels valued, respected, and empowered to succeed. We embrace a wide range of perspectives and backgrounds, ensuring fair treatment and opportunities for all employees. We value of our team’s rich array of experiences and viewpoints, which contribute to our innovative and collaborative environment.