Utilization Review (RN), Case Management

Penn Highlands Healthcare has been awarded on the Forbes list of Best-in-State Employers 2022. This prestigious award is presented by Forbes and Statistica Inc., the world leading statistics portal and industry ranking provider.

AS THE UTILIZATION REVIEW - REGISTERED NURSE, you'll be responsible for the comprehensive, interdisciplinary coordination of patient care to ensure that quality care and patient outcomes are achieved within established time frames. This individual performs comprehensive patient assessments and interviews, resource management, utilization management, discharge planning, and facilitates referrals to other levels of care including the swing bed program and outside facility referrals. They will work collaboratively with the multidisciplinary care team to facilitate the achievement of desired treatment outcomes to assure access to appropriate levels of service within the hospital and efficient use of economic, technologic, and human resources throughout the patient's hospitalization. The position will implement coordinated, interdisciplinary plans of care; serve as a clinical resource in identified specialty areas; work closely with the medical staff to develop clinical order sets; serve as a patient advocate; analyze data and develop strategies to improve care delivery and function as an integral part of the care delivery team.

QUALIFICATIONS

Registered Nursing License in the state of Pennsylvania required

Bachelor's degree in Nursing preferred

Two (2) years of clinical experience required, with preference for acute experience

Case management certification preferred

Case management / utilization review experience preferred

Literate in software and information systems WHAT WE OFFER:

Competitive Compensation based on experience

Shift Differentials

Tuition Reimbursement/Loan Forgiveness

Referral Bonus Opportunities

Professional Development

Supportive and Experienced Peers BENEFITS:

Medical, Dental, and Vision

Paid Time Off

25% discount on all services at Penn Highlands Healthcare facilities

Employee Assistance Program (EAP)