Back to jobs
Trinity Health

Registered Nurse - Utilization Review, Per Diem

LanghornePosted 3 months ago
Part-timeonsite

Job Description

Employment Type:

Part time

Shift:

Day Shift

Description:

Job Title: Registered Nurse
Department: Utilization Review

Employment Type: Per Diem

Shift: 8-hour shifts - Coverage for weekday and weekends
Location: St. Mary Medical Center - Langhorne, PA

Position Purpose

The UM Registered Nurse is responsible for the coordinating and facilitating all aspects of reimbursement as related to the clinical review and level of care. Management of all review and appeals utilizing a modified approach based on specific needs of the patient population. Facilitates achievement of efficient resource consumption, and acceptable clinical outcomes, through integration and implementation of utilization management.

Minimum Qualifications:

  • Bachelor's degree in nursing required.

  • Active PA RN License required.

  • Previous experience in Utilization review required.

  • CCM or Accredited Case Manager certification preferred.

  • Demonstrates ability to use problem solving, critical thinking, and priority setting skills.

  • Must be able to work independently and on a team.

  • Ability to perform diversified duties with time limitations with a high degree of accuracy

Position Highlights:

  • Work/Life balance with flexible schedules.  

  • Free onsite parking.  

  • Our mission and core values are what drive each member of Trinity Health to support each other, communicate openly and respectfully while embracing a culture that nurtures a healing, safe environment for all.   

  • Referral Rewards Program 

About us:

St. Mary Medical Center is a beautiful 53-acre state-of-the-art facility comprised of more than 700 physicians, nearly 3,000 colleagues, and 1,100 volunteers committed to providing quality care delivered with compassion and respect.  St. Mary attracts top doctors, introduces cutting-edge technologies and implements advanced procedures to meet the healthcare needs of the people it serves, including the nearly 630,000 residents of Bucks County.  

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

See Your Match Score

Sign up and Renata will show you how this job matches your skills and experience.

Registered Nurse - Utilization Review, Per Diem at Trinity Health | Renata