Milford Regional Medical Center RN - Utilization Nurse in Milford, Massachusetts
Statement of Purpose: The Utilization Review Nurse is responsible for utilization management at MRMC.
The UR nurse performs reviews of current inpatient services and determines medical appropriateness of
inpatient and observation services following evaluation of medical guidelines and benefit determination.
In addition, the UR Nurse will also manage the denial and appeal process under the guidance of the UR Manager.
Bachelor of Science in Nursing required, Masters in Healthcare preferred
Certification / License: Massachusetts Registered Nurse licensure required, Certified Case Manager, preferred
Experience: Minimum of 5 years acute or critical care experience, minimum of 5 years Nurse Case Management experience, & minimum of 3 years Utilization Review Nurse Experience including solid working knowledge with InterQual criteria
Hospital differentials are: $3.50 hourly for evenings, $4.75 hourly for nights, and $2.75 hourly for weekends. All differentials are paid based per hospital policy.