Muncie, IN, United States
6 hours ago
Clinical Nurse-Utilization Management

Are you looking to grow in your career with Indiana's #1 healthcare system?

IU Health Ball Memorial Hospital in Muncie, IN has a wonderful opportunity for a Registered Nurse to join our Utilization Management team! This position works Monday-Friday, day shift. No weekend, holiday or call requirements! If you are looking to take the next step in your nursing career with Indiana's #1 healthcare system, apply today! We would love to hear from you!

At IU Health, your personal and professional growth is a top priority. You will have access to many diverse opportunities to learn and develop in meaningful ways that matter most to you, such as training, leadership development, promotion opportunities and cross training development. 

If you'd like to learn more about our benefits, please view our benefits website: careers.iuhealth.org/pages/benefits-designed-for-you

The Clinical Nurse-Utilization Management performs utilization review of inpatient admissions, outpatient surgeries, and ancillary services. Performs precertification, concurrent and retrospective reviews, and coordination of discharge planning. Determines medical necessity and appropriateness of services using clinical review criteria. Collaborates with physicians and other providers to facilitate provision of services throughout the health care continuum. Acts as a member advocate by expediting the care process through the continuum, working in concert with the health care team to maintain high quality and cost effective care delivery.

Requires an Associates of Nursing (ASN). Bachelors of Nursing (BSN) preferred. Requires an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license. Requires that the RN has graduated from a nationally accredited nursing program. Requires 3-5 years of relevant experience. Basic Life Support certification through the AHA or other advanced life support certifications may be required per unit/department specialty according to patient care policies. Requires proficiency in Microsoft Office and applications. Requires understanding of medical record requirements, regulations and policies.
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