Utilization Review Nurse

CHI St. Vincent, a regional health network serving Arkansas, is part of CommonSpirit Health. We have served Arkansas since 1888 with a history of many firsts. Together with more than 4500 coworkers, 1000 medical staff and 500 volunteers we consistently receive praise for care advancements. CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health in 2019. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. CHI St. Vincent provides you with the same level of care you provide to others. We care about our team member well-being and offer benefits that complement and support your work/life balance.

The Utilization Review Nurse plays a crucial role in coordinating patient care and ensuring appropriate resource utilization. Their primary responsibilities include facilitating effective communication regarding patient care plans and securing authorization numbers/certification for each patient's approved length of stay. They work in close collaboration with physicians and other members of the healthcare team to optimize patient outcomes by ensuring access to the right treatment utilizing available hospital resources in the most cost-effective manner. The Utilization Review Nurse also actively monitors changes in the patient's condition, assessing treatment efficacy and proactively communicating updates to the payer organization.

• Registered Nurse with Bachelors degree or diploma/associates degree 
• A current unencumbered RN license to pratice in the state of Arkansas is required
• Required a minimum of three years in acute care hospital 
• Preferred experience in Psych, discharge planning or utlization management role