Utilization Review RN
Tuba City, AZ
Access Healthcare
5x8 hrs, Days

Job Opportunity: Outpatient/Inpatient Case Manager/Utilization Review Registered Nurse (CM/UR RN)

Location

• City: Tuba City
• State: Arizona
• Facility: Tuba City Regional Healthcare Corporation

Employment Type

• Type: Contract
• Contract Length: 13 weeks

Job Description

The CM/UR RN is responsible for:

• Direct supervision and supportive contact for identified patient assignments and high-risk patients.
• Designing and managing a continuum of care to empower clients towards self-sufficiency.
• Conducting assessments, service planning, resource acquisition, and monitoring client progress.
• Performing Utilization Review and Management/Clinical Documentation Chart Reviews in various care settings.
• Collaborating with Social Work Case Managers on discharge planning and care transitions.
• Linking clients with community social service providers and healthcare resources.

Qualifications

Education

• Associate's Degree in Nursing (ADN) required; must obtain a Bachelor's in Nursing within two years of hire.

License/Certification

• Current Basic Life Support (BLS) certification by the American Heart Association (AHA) required.
• Valid, unrestricted Professional Nursing License to practice as a Registered Nurse (RN) in any U.S. state or territory.

Experience

• Minimum of three years of clinical nursing experience with at least two years in an inpatient setting (medical-surgical unit, PACU, ICU, etc.) or home health.
• Knowledge of case management, purchased referred care, and utilization review processes.
• Familiarity with electronic health record systems.
• At least one year of traveling experience as a contractor is required.

Additional Information

• Orientation: Every two weeks.
• COVID Exemptions: No religious exemptions accepted; medical exemptions require approval from the medical review board.
• Housing Application: Must be submitted two weeks prior to the start date.

Community and Facility Overview

• Tuba City Regional Healthcare Corporation serves a culturally rich community, including the Navajo, Hopi, and Southern Paiute tribes.
• The facility provides a range of services, including emergency care, dental, ophthalmology, orthopedics, OB/GYN, and more.
• The hospital is JCAHO accredited and covers a 4,400 square mile area.

This position offers a unique opportunity to work in a diverse community while providing essential healthcare services.