Utilization Review Registered Nurse, PRN
ID_SARMC Saint Alphonsus Health System, Inc. · trinity-health.org
St. Mary's Health Care SystemPart-time
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The job in short
Utilization review nurse, PRN.
Clinical
Details
- Found
- 23 d ago · posted 2026-10-15
- Location
- St. Mary's Health Care System, Georgia
Full description
Employment Type:
Part time
Shift:
Description:
Position Summary: The Utilization Review (UR) Coordinator collaborates with a multidisciplinary team, including physicians, nurses, patient access staff, billing personnel, and external payers, to ensure patients receive the appropriate level of care throughout the continuum of care in an efficient, cost-effective, and quality-focused manner. The UR Coordinator conducts clinical reviews using established medical necessity criteria to support accurate patient status determinations and appropriate resource utilization throughout hospitalization. This role serves as a liaison between the hospital and external payers regarding medical necessity, severity of illness, intensity of service, authorization requirements, and timely utilization of hospital services.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
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