West Chester Hospital is hiring a Registered Nurse (RN) for our Utilization Review department for the first shift. At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. About West Chester Hospital West Chester Hospital provides its patients with access to the region's largest group of specialized physicians and medical providers. With a reputation for providing outstanding patient experiences and quality medical care, the hospital consistently ranks amongst the top 5% in the nation. West Chester Hospital provides a Level III Trauma Center that delivers superior emergency and critical care, and a certified Primary Stroke Center that provides access to the subspecialty care at the UC Gardner Neuroscience Institute. West Chester Hospital has also achieved Magnet Recognition for excellence in nursing from the American Nurses Credentialing Center (ANCC), and the hospital is routinely ranked among the best places to work in Ohio and Greater Cincinnati.

• Minimum Required: RN with current license
• Preferred: BSN
• Current RN license in Ohio.
• Minimum Required: 3 - 5 Years equivalent experience.
• Hospital Utilization Review experience preferred.
• EPIC experience required.

Join our team to BE UC Health. Be Extraordinary. Be Supported. Be Hope. Apply Today! About UC Health UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching-a combination that provides patients with options for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, Daniel Drake Center for Post-Acute Care, Bridgeway Pointe Assisted Living, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at uchealth.com. At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is committed to providing an inclusive, equitable, and diverse place of employmentThe RN-Utilization Review nurse will use established criteria and policy/procedures to perform pre-admission, admission, and continued stay reviews on inpatient and observation cases in a timely manner. UR Nurse will work with hospital Care Management staff, Social Work, and Revenue Cycle team members, as well as with managed care agencies to assure certification of the patient's entire stay so that hospital receives maximum reimbursement.

Maintains productivity at or above the defined standard for the specific area of UR.

Reviews and evaluates assigned cases within one business day and as appropriate throughout the patient's stay.

Reviews and evaluates physician orders at the time of admission or upon first review for the correct inpatient vs observation status as it relates to regulatory requirements (such as CMS 2 MN rule & CMS-4201F), established review criteria, and patient's clinical symptoms and