Staff Nurse (RN) Utilization Review - PIPELINE

Hennepin Healthcare

  • Minneapolis, MN
  • Permanent
  • Full-time
  • 2 days ago
We are anticipating a number of RN positions to become available for our Utilization Review department ranging from 0.6FTE-1.0FTE. All of which are 8 hour shift length:
  • Inpatient Units and Psych 8-4:30 pm
  • ED 8-4:30pm and 4:30 pm -1AM
The Utilization Review (UR) Registered Nurse is responsible for evaluating the medical necessity, appropriateness and efficiency of the use of healthcare services, procedures, and facilities. The RN conducts timely reviews of inpatient and outpatient medical records to determine the appropriateness of admissions, continued stays, and the level of care using established criteria and guidelines (e.g. InterQual, MCG). This role collaborates with healthcare providers, patients, payers, and internal departments to ensure quality care while optimizing resource utilization and controlling costs.QualificationsMinimum Qualifications:1 year of recent Utilization Review/Utilization Management experience
  • Possession of a valid license as a Registered Nurse issued by the State of Minnesota
Preferred Qualifications:
  • Certification in area of clinical specialty
  • BSN Preferred. Bachelor of Nursing degree is strongly encouraged. Advancement in academic education will be discussed as part of individual professional development during the annual performance review.

Hennepin Healthcare