Utilization Review Nurse

Job not on LinkedIn

🔥 5 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Mercy

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1886

🏥 Healthcare

🤝 Non-profit

🧘 Wellness

💰 Grant on 2025-05

Healthcare • Non-profit • Wellness

Mercy is a large, community-focused nonprofit health system that operates hospitals, clinics, urgent and convenient care centers, and telehealth services. It offers patient-facing services including appointment scheduling, billing and payment options, provider directories, patient portals, multilingual support, community health education, and care coordination, with a mission-driven focus on improving health and wellness across the communities it serves.

📋 Description

• Perform utilization management for the assigned inpatient Care Management population • Facilitate an effective Mercy Care Management model • Support quality patient care, safety, and financial components • Promote integration of a seamless care model • Assist with patient throughput • Collaborate on coordination, as evidenced by metrics • Optimize performance and adoption of best practices

🎯 Requirements

• Graduate of an accredited school of nursing • Current license in the state of residence and/or employment • 2-3 years acute care hospital setting experience • Ability to work independently and meet deadlines • Attention to detail and follow-up • Excellent time management and organizational skills • Ability to coordinate multiple tasks and prioritize work • Good understanding of medical terminology and ability to read, discuss, and understand patient medical information • Excellent verbal and written communication skills, particularly telephone communication • Advanced computer skills • Ability to interact effectively with a variety of people and situations at all levels of the organization • Preferred: Care Management or Utilization Review experience • Preferred: Case Management or Utilization Review certification

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Tuition support • Matched retirement plans for team members working 32+ hours per pay period