Utilization Management - Registered Nurse

Since 1887, Crouse Health has been a leading healthcare provider in Central New York. We’ve combined a family-friendly culture with a passion to provide the best care, which creates an environment where both patients and team members feel valued. Crouse Health offers a full range of general and specialty care, inpatient and outpatient services, as well as community health education and outreach programs.

Crouse’s Care Coordination Services team is hiring a Utilization Management Registered Nurse (RN) to track and manage data and client care as it relates to the utilization of services.

Pay Range: $80,000.00 - $85,000.00 / year

Utilization Management RNs are eligible for up to a $10,000 Sign-On Bonus!

Available Schedule(s):

• Full Time: 8:00am-4:30pm with occasional weekends (typically requires 6 weekends a year).

Utilization Management Registered Nurse (RN) Position Responsibilities:

• Works collaboratively with the multidisciplinary healthcare team to ensure the appropriate allocation of hospital resources while maintaining the quality of care.

• Demonstrates proficiency with standard Utilization Review processes.

• Responsible for concurrent and continued stay Utilization Management related reviews and functions and for ensuring that appropriate data is tracked, evaluated and reported.

• Progresses patients through the continuum of care based on their appropriate admission status.

• Maintains effective and efficient processes for determining appropriate admission status based on the regulatory and reimbursement requirements of various commercial and government payers.

Utilization Management Registered Nurse (RN) Position Requirements:

• Must have a current New York State Registered Nurse (RN) license.

• Graduate from an accredited nursing degree program required.

• Bachelor of Science degree in Nursing preferred.

• For RNs licensed in or after 2017, completion of a Bachelor’s of Nursing Degree will be required within 8 years of the date the license was obtained.

• Certification in a specialty area preferred.

• Three (3) - Five (5) years acute hospital experience.

• Case Management or Utilization Management experience preferred.

Benefits Overview:

• Medical, Dental, Vision, FSA, and 401K.

• Company paid life insurance.

• Tuition Assistance and Workforce Development Opportunities.

• Crouse Health Employee Assistance Program.

• Employee discounts on any Inpatient or Outpatient service, hospital cafeteria and pharmacy, and certain retailers.

• YMCA Subsidy program.

• Clinical Nursing Pathway Program for Registered Nurses designed to foster career growth and progression. Learn more here: https://www.crouse.org/nursingpathway/