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RN Utilization Management Nurse Coordinator at Loyola Medicine - ApplyBlast

RN Utilization Management Nurse Coordinator

Loyola Medicine

3 months ago

3.1 on Glassdoor

New York, United States

Hybrid

Full Time

Manager

0 applicants

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About this role

The RN Utilization Management Nurse Coordinator oversees concurrent and retrospective inpatient and outpatient utilization management services, ensuring compliance with payor contracts and optimizing length of stay and level of care. The role includes leadership responsibilities such as staffing coordination, staff mentorship, and participation in hiring and performance management, with an option for hybrid remote work.

Responsibilities

Develop and implement staffing plans to ensure adequate care coverage
Manage utilization management processes and evaluate LOS metrics
Supervise and mentor utilization management staff
Participate in hiring, evaluating, and corrective actions for employees
Coordinate urgent/emergent situations by reallocating personnel and resources

Skills

Qualifications

RN license (State of New York)Baccalaureate Degree in Science of Nursing (BSN)InterQual certificationMCG Guidelines knowledge

About Loyola Medicine

loyolamedicine.org

Headquarters

Maywood, Illinois, United States

Company Size

5001-10000 employees

View Profile

Loyola Medicine is a not-for-profit health system providing comprehensive medical care across its hospitals and outpatient facilities in Illinois, including Loyola University Medical Center, Gottlieb Memorial Hospital, and MacNeal Hospital. The organization offers urgent and specialty care, telehealth visits, online scheduling, patient portal access (MyChart), and streamlined access to medical records and billing.