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Mercy

Utilization Management RN-PRN - Remote

Posted 5 Hours Ago
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Remote
Hiring Remotely in USA
Mid level
Remote
Hiring Remotely in USA
Mid level
Performs utilization management for an inpatient care management population, supporting quality, safety, financial outcomes, patient throughput, care coordination, and best-practice adoption. The RN reviews and discusses patient medical information, collaborates across teams, manages multiple priorities, meets deadlines, and contributes to Mercy’s integrated care management model remotely.
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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 practicePosition Details:

Qualifications
Education: Graduate of an accredited school of nursing.
Licensure: Current license in the state of residence and/or employment, Minimum Required

Experience: 2-3 years acute care hospital setting, Minimum Required
Other: Must have the ability to work independently and meet deadlines, giving attention to detail and follow up, Minimum Required Excellent time management skills, organizational skills, able to coordinate multiple tasks and prioritize work, Minimum Required Must have a good understanding of medical terminology with the ability to read, discuss and understand patient medical information, Minimum Required Excellent verbal and written communication skills, particularly telephone, Minimum Required Advanced computer skills, Minimum Required Must have ability to interact effectively with a variety of people and situations at all levels of the organization, Minimum Required
Preferred Experience: Care Management or Utilization Review experience,
Preferred Certifications: Case Management or Utilization Review, Preferred
Preferred Other:

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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