Utilization Review RN
PER DIEM•Kirkland•$0k - $0k
About this role
Wage Range: $47.70 - $76.31 per hour
Candidates must live in WA state. Role will need to be on Kirkland campus for initial training and orientation.
Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity.
EvergreenHealth is seeking an experienced RN to join the Care Management Team. Come join the team, where we consistently earn top honors for patient care and continually look for new and innovative ways to improve.
Job Summary:
The RN in our Care Management department specializes in assessing hospital admissions for status per defined criteria and reviews for appropriate utilization of resources. Ensures continuity and coordination of care for patients before, during and after hospitalization, and ensures that payer conditions are met. In conjunction with the interdisciplinary team supervises progress and recommends appropriate clinical interventions to nursing staff and attending physicians, ensuring CMS guidelines are met. In conjunction with the interdisciplinary team ensures that patients and families have access to resources for post-hospital care needs.
The RN in our Care Management department specializes in assessing hospital admissions for status per defined criteria and reviews for appropriate utilization of resources. Ensures continuity and coordination of care for patients before, during and after hospitalization, and ensures that payer conditions are met. In conjunction with the interdisciplinary team supervises progress and recommends appropriate clinical interventions to nursing staff and attending physicians, ensuring CMS guidelines are met. In conjunction with the interdisciplinary team ensures that patients and families have access to resources for post-hospital care needs.
- Monitors patients’ medical progress, identifies and addresses patient needs/gaps in service as they move through the system, and obtains authorization for discharge planning as appropriate. Takes action to correct variances in length of stay by following up with physicians and payers as needed.
- Provides utilization reviews, meeting all time requirements and addresses the discharge appeal process in collaboration with the physician, Dir/Mgr and/or Social Worker
- Performs other duties as assigned.
License, Certification, Education or Experience:
REQUIRED for the position:
- Current State of Washington RN license
- Bachelors of Science degree in Nursing or be actively pursuing a degree in Nursing
- Three (3) years of experience as an RN with a combination of acute care and/or case management experience.
- Current American Heart Association Healthcare Provider BLS certification by date of hire.
- Knowledge of the healthcare financial environment, reimbursement and levels of care.
- Knowledge of community resources and how to access them effectively and efficiently.
- Interpersonal skills necessary to lead and coordinate an interdisciplinary team and deal effectively with patients and families from a variety of backgrounds and with varied emotional and medical needs.
- Age-appropriate developmental assessment skills.
- Excellent communication skills to ensure and deliver safe patient care and to provide a legal record of this care.
- Accountability for professional nursing practice, commitment to patient care and commitment to uphold the Patient Bill of Rights.\
DESIRED for the position:
- Master’s degree in Nursing or other experience and /or educational preparation that would provide the foundation for Nursing Case Management
Benefit Information:
Choices that care for you and your family
Choices that care for you and your family
At EvergreenHealth, we appreciate our employees’ commitment and contribution to our success. We are proud to offer the following benefits and resources for our per diem staff to help maintain and improve health and financial well-being.
- Washington Paid Sick Leave (WPSL)
- Participation in 457(b) retirement plan
- Free parking
- Cafeteria & Gift Shop Discount
Other facts
Tech stack
Utilization Review,Care Management,Patient Care,Interdisciplinary Team Coordination,Clinical Interventions,Discharge Planning,Authorization,Communication Skills,Healthcare Financial Environment,Community Resources,BLS Certification,Acute Care Experience,Case Management Experience,Patient Needs Assessment,Accountability,Patient Bill of Rights
About EvergreenHealth
EvergreenHealth, a public hospital district and community-owned health care system established in 1972, offers a breadth of services and programs that is among the most comprehensive in the region.
With two hospitals in Kirkland and Monroe and dozens of practices across the region, we serve more than 1 million of our service area in north King and south Snohomish counties, ensuring access close to home and work.
Our 1,100+ physicians provide the most advanced and personalized care with more than 80 primary and specialty services, giving all of our patients a highly collaborative, compassionate experience every time they walk through our doors.
As a public hospital district, EvergreenHealth’s resources and services are in part funded by our community, which means we are accountable to you and everyone we serve. The community’s support allows us to go beyond clinical care and offer community health outreach, education programs and free services like our Healthline, which connects you with a 24/7 consulting nurse service, health information, appointment scheduling assistance, class registration, and more.
For more information, visit: https://www.evergreenhealth.com/
Team size: 1,001-5,000 employees
Website: http://www.evergreenhealth.com
LinkedIn: Visit
Industry: Hospitals and Health Care
Founding Year: 1972
What you'll do
- The RN specializes in assessing hospital admissions and ensuring appropriate utilization of resources. They monitor patients’ medical progress and coordinate care before, during, and after hospitalization.
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Frequently Asked Questions
What does EvergreenHealth pay for a Utilization Review RN?
EvergreenHealth offers a competitive compensation package for the Utilization Review RN role. The salary range is USD 0k - 0k per year. Apply through Clera to learn more about the full compensation details.
What does a Utilization Review RN do at EvergreenHealth?
As a Utilization Review RN at EvergreenHealth, you will: the RN specializes in assessing hospital admissions and ensuring appropriate utilization of resources. They monitor patients’ medical progress and coordinate care before, during, and after hospitalization..
Why join EvergreenHealth as a Utilization Review RN?
EvergreenHealth is a leading Hospitals and Health Care company. The Utilization Review RN role offers competitive compensation.
Is the Utilization Review RN position at EvergreenHealth remote?
The Utilization Review RN position at EvergreenHealth is based in Kirkland, Washington, United States. Contact the company through Clera for specific work arrangement details.
How do I apply for the Utilization Review RN position at EvergreenHealth?
You can apply for the Utilization Review RN position at EvergreenHealth directly through Clera. Click the "Apply Now" button above to start your application. Clera's AI-powered platform will help match your profile with this opportunity and guide you through the application process. You can also learn more about EvergreenHealth on their website.