Glens Falls Hospital RN (Utilization Review Nurse) in Glens Falls, New York

The RN (Utilization Review Nurse) works in collaboration with the physician and interdisciplinary team to support the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers. The role integrates and coordinates utilization management and denial prevention by focusing on identifying and removing unnecessary and redundant care, and promoting clinical best practice. Ensuring all patients receive “the right care, the right cost, right time, and in the right setting.”

*Education & Experience:

Registered Nurse (RN) required.

Bachelors of Nursing (BSN) preferred.

Two years of acute care, utilization management, or payer experience required.

*Licenses, Certifications, Registrations:

Registered Nurse (RN) in New York State.

Accredited/Certified Case Manager (ACM or CCM) designation strongly preferred.

Job: *Nursing - Case Management

Title: RN (Utilization Review Nurse)

Location: NY-Glens Falls

Requisition ID: 18000075