Utilization Review- RN

Utilization Management Nurses work within the multidisciplinary team to determine medical necessity of admission and continued stay in the hospital as well as correct patient classification and efficient use of resources.  They conduct robust utilization review.  Utilization Management Nurses use established criteria to determine appropriateness of admission and continued stay and work with payers to assure ongoing authorization for continued stay.  They contribute to meeting OHSU’s strategic plan of safe LOS reduction and reduction in readmission rates.