Open Position: RN - Utilization Review

Estimated Gross Weekly Pay: $2847.60

Opportunity:

RN - Utilization Review

Job Details:

* Ensure patients receive appropriate care by verifying medical necessity and confirming correct patient status
* Monitor ongoing need for services while working to reduce unnecessary length of stay and prevent delays
* Support accurate clinical documentation for proper reimbursement
* Coordinate with providers and care team on discharge planning and transitions of care
* Manage resource use to control costs and communicate with payers to prevent denials
* Ensure compliance with CMS and Joint Commission requirements
* Contribute to reporting and quality improvement efforts
* Serve as key liaison between clinical care, finance, and regulatory requirements
* Bachelor's Degree in Nursing required
* Valid, current, full and unrestricted RN license in any U.S. state, Puerto Rico, or U.S. territory required
* BLS certification by the American Heart Association (AHA) required
* Minimum 3 years of clinical nursing experience performing direct patient care required
* At least 2 years of experience in an inpatient setting on a medical-surgical unit, PACU, ICU, Step-Down, Telemetry, or home health required
* Demonstrated knowledge of case management, purchased referred care, and utilization review processes required
* Demonstrated knowledge of electronic health record systems required
* Shared contractor housing only - no pets or family members permitted per facility policy

Facility:

This JCAHO accredited health center provides services to a 4,400 square mile area and serves as a referral center for a large region of the surrounding reservations. The facility has a bed capacity of 73 and offers comprehensive inpatient and outpatient services including emergency services, dental and ophthalmology services, orthopedics, OB/GYN, oral surgery, eye surgery, and urological procedures. The medical staff includes a wide range of specialists such as surgeons, internal medicine physicians, psychiatrists, pediatricians, family practice physicians, obstetricians, ENT specialists, orthopedic surgeons, and urologists.

Location:

Tuba City, AZ

Tuba City offers a one-of-a-kind culturally rich environment situated on the Colorado Plateau in Northwestern Arizona, home to the Navajo, Hopi, and Southern Paiute tribes. The area's stunning semi-desert landscape, unique cultural diversity, and close-knit community make it an exceptional destination for healthcare professionals seeking a meaningful and rewarding work experience.

Equal Employment Opportunity Statement:

Noor Group is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic.

Physicial Requirements:

This position requires the ability to perform the essential functions of the role, which may include standing for extended periods, bending, reaching, and lifting up to 50 pounds on an occasional basis, with or without reasonable accommodation. Physicial demands may vary depending on assignment and client-site requirements.