Division

Emory Univ Hospital

Campus Location

Atlanta, GA, 30322

Campus Location

US-GA-Atlanta

Department

EUH Utilization Review

Job Type

Regular Full-Time

Job Number

165093

Job Category

Nursing

Schedule

8a-4:30p

Standard Hours

40 Hours

Hourly Minimum

USD $57.62/Hr.

Hourly Midpoint

USD $66.79/Hr.

Be inspired. Be rewarded. Belong. At Emory Healthcare.

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:

• Comprehensive health benefits that start day 1
• Student Loan Repayment Assistance & Reimbursement Programs
• Family-focused benefits
• Wellness incentives
• Ongoing mentorship and leadership programs
• And more!

Duties and Responsibilities: 1. Under the direction of the Utilization Review Manager, supervises and coordinates activities of personnel in the Utilization Review Department, including staff schedules to ensure appropriate department coverage, equitable daily staff assignments, and timely completion of assignments. 2. Provides staff support by overseeing workflows/processes, ensuring job responsibilities and delegated duties are understood. 3. Assist with staff education and implementing new processes/workflows. 4. Assist with staff performance evaluations, creating performance competencies and goals, developing guidance and training for improvement, and maintaining employee personal records. 5. Assist in the hiring process, including development, evaluation and training of new employees as needed. 6. Will assist with monthly staff quality audits to ensure compliance of Emory Healthcares Utilization Review Plan, regulatory guidelines, and department policies and procedures. 7. Will assist with communication between the Hospitals Case Management Department and Utilization Review Department. 8. Provides effective and efficient proactive communication to internal and external customers. 9. Assists with representing the Utilization Review Department by participating in interdisciplinary care rounds, complex care rounds or other committees to improve interdepartmental communication and hospital efficiency. 10. Will assist in collaborative efforts with the Case Management Department, Revenue Cycle, Physician Advisors and other departments. 11. Will understand the Utilization Review Departments and organizations key performance indicators and assist in meeting goals. 12. Builds, maintains and supports a team culture that fosters effective working relationships within a safe working environment. 13. Will take an assignment when warranted. 14. Will perform other duties and tasks as assigned.

MINIMUM QUALIFICATIONS: Must have a valid, active unencumbered Registered Nurse license or temporary permit approved by the Georgia Licensing Board. Bachelor's degree in nursing required, but Master's degree in nursing or related healthcare field preferred. At least 3 years of experience in Utilization Review required. At least 3 years of healthcare experience required. Case Management certification (CCM or ACM) preferred. Leadership experience preferred. Proven ability to coach, mentor, and lead. Demonstrates leadership abilities.

PHYSICAL REQUIREMENTS: (Medium Max 25lbs): up to 25 lbs, 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 25 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.

ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.

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