Utilization Review Lead Nurse (RN)

The Execu|Search Group
Aug 13, 2017
Aug 14, 2017
Employer Type
Direct Employer
Employment Type
Full Time
Job Description:

About the Opportunity A services company in New York City is actively seeking a licensed Registered Nurse (RN), with a strong Utilization Review background, for a promising Lead position with their growing staff. In this role, the Utilization Review Lead Nurse (RN) will be responsible for managing a team on a day-to-day basis to make sure the company meets all turnaround times and regulations. Apply today! Company Description Services Company Job Description The Utilization Review Lead Nurse (RN) will: * Review the quality and volume of nurse reviews and provider interactions * Provide clinical guidance and support on daily cases * Design systematic solutions to improve effective decision-making around appropriate use of services * Deliver on KPIs involving provider experience, satisfaction, and review quality/consistency, as well as employee experience and satisfaction * Set a strong, positive leadership tone and create a great team-based work environment * Develop the success of your team through coaching, providing clinical escalation support, process improvement and vision-setting * Ensure providers (and members) receive the best experience possible * Bring creative solutions that allow nurses to thrive in a tech company Required Skills * 4+ years of Utilization Review experience within a Health Plan or Managed Care organization; 3+ years of experience leading a team; 3+ years of Patient Care experience in an Inpatient / Acute Care setting * Bachelor's Degree in Nursing * Active NY, TX, and/or CA Registered Nurse (RN) license * Solid assessment, clinical, and documentation skills * Patient oriented * Solid analytical skills * Great interpersonal skills * Excellent communication skills (written and verbal) * Strong attention to detail * Highly organized