Utilization Management Specialist, RN

Penn State Health
Hershey, Pennsylvania · 08/15/2017

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Job Description

Location: US:PA:Hershey
Work Type: Full Time
FTE: 80 hours every two weeks
Shift: Day and evenings
Hours: Two 12 hour and two 8 hour shifts including every fourth weekend and every fourth holiday
Recruiter contact: Mary Louise Baerg, RN 717-531-4031 mbaerg@pennstatehealth.psu.edu

This position will cover the Emergency Department


Responsible for the review of clinical documentation in the Electronic Medical Record (EMR), comparing it to the nationally accepted and evidence-based criteria to certify an admission to the facility, and for concurrent/continued stay review as appropriate. Also responsible for maintaining compliance with the CMS Conditions of Participation for Utilization Management.


Bachelors Degree in Nursing or Masters Degree in Nursing required
3 years advanced clinical experience in a hospital setting required.
Currently licensed to practice as a registered nurse by Pennsylvania Board of Nurse Examiners required.

Demonstrated ability to problem solve complex, multidimensional situations required.
Ability to successfully manage conflict and negotiate “win-win” solutions required.
Strong organizational, task prioritization and delegation skills required.
Strong oral and written communication skills required.
Ability to work independently required.

Financial Counseling experience preferred.

If chosen for this position, you may be required to pass a Post Offer Employment Physical Exam in accordance with the measurements listed in the Work Task Analysis (WTA) report. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position’s responsibilities.

Penn State Health is committed to affirmative action, equal opportunity and the diversity of its workforce. Equal Opportunity Employer – Minorities/Women/Protected Veterans/ Disabled.

Union:Non Bargained


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