Utilization Review Rn Jobs in Richmond, VA (NOW HIRING)

Hourly Wage Estimate: 32.95 - 49.42 / hour Learn more about the benefits offered for this job.

The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.

Do you have the career opportunities as a Registered Nurse RN Case Manager you want with your current employer? We have an exciting opportunity for you to join Chippenham Hospital which is part of the nations leading provider of healthcare services, HCA Healthcare.

As a Registered Nurse RN Case Manager, your role will be to support patients and families through every step of their care journey. You will coordinate services, connect resources, and develop care plans that reflect each patient's unique needs. By partnering with physicians, nurses, and department leaders, you will help ensure safe transitions, clear communication, and consistent quality across the continuum of care.

In this role you will assist our patients in finding the services they need for continuity of care upon leaving the hospital. Our team collaborates closely with our community partners to provide services such as home health, hospice, skilled nursing, assisted living, private care, and durable medical equipment (DME).

What you will do in this role:

• You will manage the patients' care from admission to discharge.
• You will collaborate with the health care team and develop treatment goals and plan interventions that assist the patient and family to resolve psychosocial concerns that may arise as a result of illnesses, limited finances and/or physical disabilities.
• You will document patients' social work assessments, treatment goals, interventions, outcomes, and discharge plans.
• You will provide program orientation to patients/families/caregivers. Orientation will include the case managers role, Rehab philosophy, and continued stay and discharge criteria. Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan process, and rights and responsibilities.
• You will act as the coordinator of patient/family/caregiver education. You will promote the participation of the patient/family/caregiver in team discussions related to plans, goals, and status. This will be conducted through Family Conferences and other interactions.
• You will ensure the implementation of the patients treatment plan that supports the patients strengths, abilities, needs, and preferences. You will facilitate the involvement of the patient throughout the rehabilitation process.
• You will document the findings of the Discharge Planning Evaluation (DPE) and psychosocial assessments. You will communicate the social, financial, or discharge needs and preferences of the patient/family/caregiver.
• You will assume accountability for promoting consistent, positive patient interactions that advance the agenda of unparalleled patient service.

What qualifications you will need:

• Graduate of an accredited school of nursing (BSN preferred).
• Current Registered Nurse license in Virginia or current Multistate Registered State license.
• 3+ years of RN experience in a hospital setting preferred.
• Previous case management or utilization review experience preferred.

Chippenham Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Chippenham Hospital has provided quality healthcare services since 1972, giving patients access to highly-trained physicians and advanced technology. With more than 50 years of pioneering healthcare, our 460+ bed hospital is one of the regions leading acute care facilities located on the Southside of Richmond. We are the regions first choice for orthopedics, joint care, behavioral health and cardiovascular care. The Joint Commission awarded Chippenham Hospital the Gold Seal of Approval and named us a Top Performer on Key Quality Measures for advanced primary stroke, heart attack, heart failure, pneumonia, perinatal care, hip and knee replacement and surgical care. We are also a Level I Burn Center and Level I Trauma Center.

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Registered Nurse RN Case Manager opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.