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Utilization Review Nurse
Attention: Monroe County full-time employees will receive a $1,000 quarterly retention payment each quarter in 2024! Apply today - another great reason to join the Monroe County workforce!
Description of Duties
This is a professional nursing position located in a nursing unit at Monroe Community Hospital responsible for providing case
management intervention to ensure optimum health care and positive clinical outcomes over a continuum of time and cost
efficiency of health care services. Duties involve performing utilization review using case management software applications
that provide pertinent data from a variety of sources of resident information (i.e. claims, laboratory results, medications, health
risk assessments) in order to avoid the under or over-utilization of health care leading to lower quality care and higher costs
and health risks. Duties also involve completing and monitoring the patient assessment process. The employee reports
directly to, and works under the general supervision of a Nurse Manager or other higher-level staff member. General
supervision is exercised over paraprofessional and clerical staff.
Minimum Qualifications
Graduation from high school or possession of an equivalency diploma plus graduation from a regionally accredited or New
York State registered college or university with a Bachelor’s or Associate’s degree in Nursing and eighteen (18) months paid
full-time or its part-time equivalent* professional nursing experience in a skilled nursing facility.
