RN, Utilization Review

Oregon Health & Science University
Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.
RN, Utilization Review
US--Telecommuting
Job ID: 2024-31352
Type: Regular Part-Time
# of Openings: 1
Category: Nursing-Care Management
Telecommuting
Overview

Functions:

• Evaluates own knowledge and nursing practice in relation to professional practice standards and evidence-based knowledge in consultation with peers and colleagues.
• Evaluates knowledge and nursing practice of peers in relation to professional practice standards and evidence-based knowledge and provides feedback that enhances their growth and development.
• Identifies complexities within OHSU systems and participates in resolving barriers to effective, efficient, and fiscally responsible care delivery.
• Evaluates patient outcomes against nurse-sensitive indicators and participates in raising the standard of nursing practice when results are below benchmark.
• Gathers pertinent information from patient and others to establish relevant data base about the patient and the patient’s condition.
• Determines changes in the patient’s condition and stability based on clinical parameters, population data, and nursing knowledge and evidence.
• Uses a population and evidence-based approach to determine the patient’s individualized priority goals and care activities in relation to: Nursing’s independent scope of practice (safety, comfort, hygiene, restorative measures, and health promotion); and in relation to the interdisciplinary plan of care
• Evaluates the effectiveness of the plan of care by evaluating the patient’s response, outcomes, and changes in stability and makes recommendations for modifications to the plan of care. Develops a therapeutic relationship with patients and families
• Implements direct and indirect nursing care consistent with evidence-based practices, hospital policies and procedures, scope and standards of practice, and Nursing’s Code of Ethics.
• Delegates and supervises tasks consistent with other caregivers’ scope of practice, adhering to standards, regulations, and role expectations including self-care and collaborative teamwork
• Collaborates with the patient/family in developing a teaching plan to meet learning needs. Effectively transfers information about disease, health, treatment plan and recovery to patient, family and documents teaching and plan in the electronic record
• Communicates evaluation of patient’s stability, progress, discharge plan and recommendation for continuity of the medical and nursing plan to other members of the health care team, including accurate and timely documentation in the patient’s electronic record
• Monitors expenditures against departmental budget; prepares necessary documentation for supervisor review/approval; tabulates budgetary data, calculates figures, and checks for accuracy.

• Analyzes departmental budgetary data, verifies figures, and develops budget proposals; recommends allocation of budgetary funds.

• Has full responsibility for departmental planning, forecasting and final approval of budget. Indicate estimated budget amount

Responsibilities

• Unencumbered Oregon RN license
• 5 years clinical nursing experience required
• One year of Utilization Review or Utilization Management experience required
• BSN Graduates: Baccalaureate Degree in Nursing from a program accredited by Commission of Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN) or Commission for Nursing Education Accreditation (CNEA) 30 days before start date.
• ADN Graduates: Associate Degree in Nursing from an accredited program 30 days before the start date. Associate degree Nurses required to enroll in BSN program within 3 years of hire and complete within 5 years of hire
• BLS at time of hire and must be issued by the American Heart Association (AHA)
• Must be able to perform the essential functions of the position with or without accommodation

PI249331165