Utilization Review Nurse Jobs in Raleigh, NC (NOW HIRING)

Department:
34033 Wake Forest Baptist Medical Center - Nursing: Care Coordination
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
Monday-Friday, 40 hour work week
Pay Range:
$38.20 - $57.30
The Case Manager, under the direction of the Director of Coordinated Care, utilizes the nursing process to develop, implement, and evaluate case management outcomes for defined patient populations. This individual supports the mission, vision, and values of Advocate Medical Center and contributes to the accomplishment of the purpose and objectives of the medical center. The Case Manager facilitates optimal outcomes for all parties involved through advocacy, objectivity and liaison/collaboration with an emphasis on continuity of care, effective communication, and coordination of appropriate healthcare services.
The Case Manager utilizes a variety of skills to educate, consult, and assist in the management of an identified patient population in order to achieve the highest quality and best possible outcomes for the patient in a cost effective manner. He/she collaborates with a patient care team that includes, but is not limited to physicians, nurses and assistive staff, rehabilitative therapies, respiratory therapy, pharmacy, dietetics, psychosocial support disciplines, infection control, fiscal services, performance improvement, and any other disciplines directly and indirectly involved in patient care.
The Case Manager utilizes a scientific approach in the analysis of patient care, identifying opportunities for the improvement of patient care/outcomes, quality of life, and cost reduction based on current research findings supported in the literature. Further, this individual collaborates actively on a daily basis (Monday-Friday) with the identified case management team in order to facilitate timely achievement of expected patient outcomes. When not on campus, the Case Manager is available by pager, digital phone, and e-mail.
The qualified candidate will possess the following:
A. Education
1. Graduate of an accredited School of Registered Professional Nurses, BSN preferred, MSN encouraged
B. Experience
1. Minimum of five years of experience in the care of assigned patient population
2. Participation in case management and utilization review encouraged
C. Licensure/Certification
1. Current registration to practice as a Registered Nurse in the the applicable state as determined by job location
2. Case Management certification encouraged
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.