Staff Nurse (RN) Utilization Review - PIPELINE

Located in downtown Minneapolis, Hennepin County Medical Center (HCMC) is Minnesota's premier Level 1 Adult Trauma Center and Level 1 Pediatric Trauma Center. Committed to creating a culturally competent and inclusive work and care environment for patients, families and staff, HCMC offers primary care and retail clinics throughout the Hennepin County metro area. We partner with our community, our patients and their families to ensure access to outstanding care. Our mission is to improve health and wellness through patient and community education, teaching and research.

We are anticipating a number of RN positions to become available for our Utilization Review department ranging from 0.6FTE-1.0FTE. All of which are 8 hour shift length:

• Inpatient Units and Psych 8-4:30 pm
• ED 8-4:30pm and 4:30 pm -1AM

The Utilization Review (UR) Registered Nurse is responsible for evaluating the medical necessity, appropriateness and efficiency of the use of healthcare services, procedures, and facilities. The RN conducts timely reviews of inpatient and outpatient medical records to determine the appropriateness of admissions, continued stays, and the level of care using established criteria and guidelines (e.g. InterQual, MCG). This role collaborates with healthcare providers, patients, payers, and internal departments to ensure quality care while optimizing resource utilization and controlling costs.

Minimum Qualifications:

• 1 year of recent Utilization Review/Utilization Management experience

• Possession of a valid license as a Registered Nurse issued by the State of Minnesota

Preferred Qualifications:

• Certification in area of clinical specialty
• BSN Preferred. Bachelor of Nursing degree is strongly encouraged. Advancement in academic education will be discussed as part of individual professional development during the annual performance review.

You've made the right choice in considering Hennepin County Medical Center for your employment. HCMC offers a wealth of opportunities for individuals who want to make an impact in our patients' lives. We are dedicated to providing Equal Employment Opportunities to both current and prospective employees. We're driven to connect talented individuals with life-changing career opportunities, enabling you to provide exceptional care without exception. Thank you for your consideration in submitting an application.

Please Note: Offers of employment from Hennepin County Medical Center are conditional and contingent upon successful clearance of all background checks and pre-employment requirements.