Utilization Review Manager - Home Care ensures quality and level of care for patients are up to established standards and comply with federal, state, and local regulations. Investigates and resolves reports of inappropriate care. Being a Utilization Review Manager - Home Care may require a bachelor's degree. Typically reports to a head of a unit/department. To be a Utilization Review Manager - Home Care typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)
Summit Medical Center is looking for a Utilization Review Nurse/Case Manager/Employee Health RN to join our Quality Care Team. This position works Monday - Friday. No Weekends.
Summit Medical Center has established an outstanding reputation for quality services. Credit for this goes to every one of our employees. We are committed to doing our part to assure each employee has a satisfying work experience and can take pride in working at Summit Medical Center.
This position will ensure appropriate utilization of facilities and services and provide for the review of admission, duration of stay, professional services rendered, and review of each extended stay case. This RN will also develop, implement, and evaluate individualized patient care plans. He/she will advocate patient welfare, and serve as a liaison between patients, their families, and healthcare providers.
SMC offers a competitive benefits program to full-time employees and their family. SMC pays the majority of the benefit, while a low premium cost is deducted from the employee's paycheck on a pretax basis. We offer medical, dental, vision, short-term disability coverage, life insurance, 401k and paid time off.
Job Type: Full-time
Pay: $70,000.00 - $84,000.00 per year
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Work Location: In person