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Utilization Review Nurse at Capital Health - ApplyBlast

Utilization Review Nurse

Capital Health

1 month ago

3.3 on Glassdoor

Pennington, New Jersey, United States

Onsite

Full Time

Medior

0 applicants

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About this role

This role performs utilization and resource management activities to promote quality, clinical, and cost-effective patient care outcomes. The position involves assessing treatment plans, communicating with third-party payers, and collaborating with healthcare teams to optimize lengths of stay and resource utilization. The nurse ensures compliance with regulatory standards while supporting efficient hospital operations.

Responsibilities

Conduct admission and continued stay utilization reviews for various payers
Collaborate with healthcare teams to optimize patient care and reduce length of stay
Analyze clinical protocols to identify and reduce resource consumption and wasteful practices

Skills

Qualifications

Associate's degree in nursingCPHQCCMCPURRegistered Nurse - NJ

About Capital Health

capitalhealth.org

Headquarters

Trenton, New Jersey, United States

Company Size

1001-5000 employees

Founded

1998

View Profile

Capital Health is the region's leader in providing progressive, quality patient care with exceptional physicians, nurses, and staff, as well as advanced technology.