Utilization Review Registered Nurse_Days

City/State: Norfolk, VA

Work Shift: First (Days)

Integrated Care Manager RN - Days. As an integrated care manager, specializing in Utilization review, the registered nurse will be responsible for utilization review services within the scope of licensure. Conducts primary function of prior authorization for inpatient and outpatient reviews both initial and concurrent continued stay review. Reviews for appropriateness of treatment setting to ensure compliance with applicable criteria, and regulatory requirements.

Responsible for written and /or verbal communication of pertinent clinical information.

Virginia Remote, must be available to come into Virginia Beach office as required.

• Minimum of 3 years acute care experience
• Registered Nurse
• Verbal and Written Communication, Critical Thinking, Proficiency with basic computer skills

• VA RN License (VABON) or North Carolina RN License (NCBON)

• RN diploma, RN Associate Degree, RN Bachelor Level Degree, or RN Master Level

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• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down – $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Annual discretionary bonus if established system and employee eligibility criteria is met

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its nearly 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

In support of our mission “to improve health every day,” this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.