RN Utilization Review Full-time
Olympic Medical Center

Utilization Management Nurse I

Olympic Medical Center Port Angeles, WA, US
$39.76 - $68.19 / hour
Apply Now

ABOUT OLYMPIC MEDICAL CENTER:

Imagine working on Washington State’s beautiful North Olympic Peninsula where recreational opportunities abound. Whether you enjoy hiking, camping, fishing, kayaking or cycling, the Olympic Peninsula is home to numerous adventures for outdoor enthusiasts. It's a great place to live, work, play and raise a family.

Bordered by the scenic Olympic National Park, the Strait of Juan de Fuca and the Pacific Coast - with Seattle and Victoria, BC just a ferry ride away - you won’t find a better location. You’ll receive a competitive salary, excellent benefits, relocation assistance plus an amazing PNW lifestyle – a perfect combination!

FTE:

100%

WORK SHIFT

Days

PAY RANGE:

$39.76 - $68.19

UNION:

SEIU 1199-RN and LPN

SHIFT DIFFERENTIALS/PREMIUMS:

Weekend & Holiday Shifts: Yes

On-Call Shifts: No

Shift Differentials:

  • Evening $3.00/hour
  • Night $5.00/hour

Premiums:

  • Weekend Premium $4.50/hour
  • Standby Premium $4.00/hour
  • Charge Premium $3.25/hour
  • Float/PM Premium $2.50/hour
  • Per Diem Premium 15% (on rate of pay, in lieu of benefits)
  • Certification Premium $2.00/hour

JOB DESCRIPTION:

Under general direction using established level of care criteria/guidelines, the Utilization Management RN I monitors the appropriateness of hospital admissions and stays. Monitoring includes review of admission status, medical necessity (severity of illness and intensity of service), and continued stay to comply with government and insurance company reimbursement policies. The Utilization Management RN I consults with physician/supervisor as necessary to resolve deviations from established criteria, and obtains documentation needed for continued hospitalization. This position assists with claims resolution issues and appeals, develops and maintains community relations, and collaborates with interdisciplinary team to achieve maximum internal and external customer satisfaction, as well as resource stewardship.  

EDUCATION              

  • Graduate from an accredited school of nursing, required.
  • BSN preferred.

EXPERIENCE

  • At least three years of professional nursing experience required. Preference is for nursing experience to have occurred in a clinical/acute setting.
  • Experience in Utilization Management/In-Patient Case Management preferred.

LICENSURE/CREDENTIALS

  • Current Washington State RN license required.
  • Basic Life Support (BLS) certification required within 30 days of hire.

BENEFITS INFORMATION:

Click here for information about our benefits.

Equal Employment Opportunity (EEO) Statement:

Olympic Medical Center is an Equal Opportunity Employer that values workplace diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or protected veteran status and will not be discriminated against on the basis of disability. For more information, please visit www.eeoc.gov.

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