Utilization Review Nurse/FT Remote - Mercy STL

Find your calling at Mercy!

Overview

Utilization Management for the assigned inpatient Care Management population. This position is designed to facilitate an effective process of the Mercy Care Management model; supporting quality patient care, safety and financial components; promoting integration of a seamless care model; assisting with patient throughput; collaborating to include coordination as evidenced by metrics, optimizing performance and adoption of best practice Position Details: Qualifications Education: Graduate of an accredited school of nursing. Licensure: Current license in the state of residence and/or employment, Minimum Required Experience: 2-3 years acute care hospital setting, Minimum Required Other: Must have the ability to work independently and meet deadlines, giving attention to detail and follow up, Minimum Required Excellent time management skills, organizational skills, able to coordinate multiple tasks and prioritize work, Minimum Required Must have a good understanding of medical terminology with the ability to read, discuss and understand patient medical information, Minimum Required Excellent verbal and written communication skills, particularly telephone, Minimum Required Advanced computer skills, Minimum Required Must have ability to interact effectively with a variety of people and situations at all levels of the organization, Minimum Required Preferred Experience: Care Management or Utilization Review experience. Preferred Certifications: Case Management or Utilization Review. Why Mercy? From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us. Transforming the Health of Our Communities Our Mercy health system was founded by the Sisters of Mercy in 1986. But our heritage goes back more than 195 years. It began with an Irish woman named Catherine McAuley, who was determined to help women and children in Dublin experiencing poverty. Though Catherine had a modest upbringing, she received an unexpected inheritance that allowed her to fulfill that dream. In 1827, she opened the first House of Mercy in Dublin, intending to teach skills to women and educate children. Many volunteers came to help. A few years later, Catherine founded the Sisters of Mercy, one of the first religious orders whose Sisters were free to walk among the poor and visit them in their homes. In 1843, the Sisters of Mercy came to the United States. In 1856, they traveled to St. Louis. In the years to come, they would establish hospitals throughout the Midwest. Many of these would join together in 1986 as Mercy. Click Here to Learn More about Mercy Apply To This Job