Registered Nurse - Utilization Management

Summary Registered Nurse is responsible for providing competent, evidence-based practices within the position. Uses UM criteria to perform compliance reviews. The UM RN activities include collecting, analyzing, and reporting data., creating and providing provider education to a variety of providers, collaborating on ordered level of care and treatment plans, and conducting InterQual reviews on prospective, observation, admission, and continued stay patients. Responsibilities Provide competent evidence based practices within the position Use UM Criteria to perform complicated reviews Reporting date Analyzing Creating/providing provider education Collaborating on order level of care and treatment plans Conducting InterQual reviews Responsible for creating and providing education guidance to internal and external customers Demonstrate leadership in delivering and improving holistic care through collaborative strategies Demonstrate proficiency in decision-making VA offers a comprehensive t...