Assistant Nurse Manager - Utilization Managment

Required Qualifications

• Bachelor’s degree in nursing is required.
• Current license to practice nursing in Iowa is required by date of hire.
• 1+ years of nursing experience with demonstrated skills in leadership.
• Minimum 1 year of experience performing Utilization Reviews in a RN capacity.
• Experience leading/managing transitions in care.
• Knowledge of payers and processes of authorizations, reviews, denial management and medical necessity.
• Experience with Utilization Management reporting.
• Excellent written and verbal communication skills
• Proficiency with computer software applications (i.e. Microsoft Office)
• Demonstrated ability of time management, organization of workload, delegation, attention to detail and thoroughness.
• Demonstrated effective teaching skills for staff and patient education.
• Demonstrated appreciation for diversity with an understanding of benefits of a diverse workforce (stimulation, challenge, and energy that contributes
• to a productive and effective workplace).Bachelor’s degree in nursing is required.

Desired Qualifications 

• Masters Degree preferred (in nursing, MBA or healthcare related).
• Minimum 3 years of clinical RN experience.
• Minimum 3 years of Case Management experience.
• Experience working with case management; utilization management; insurance contracts and knowledge of CPT and ICD-9/10 codes or clinical guideline systems such as Milliman© InterQual© or other similar system.
• Certification in a role or specialty through a nationally recognized professional nursing certification body is desired (i.e (CCMC) Commission for Care Manager Certification).
• Experience and knowledge with Medicare Guidelines of outpatient observation and 2 midnight rule is desired.
• Experience working in EPIC.
• Experience in a large academic medical center.

Position and Application details: 
In order to be considered for an interview, applicants must upload the following documents and mark them as a “Relevant File” to the submission:
•    Resume
•    Cover Letter

Job openings are posted for a minimum of 14 calendar days and may be removed from posting and filled any time after the original posting period has ended. 

Successful candidates will be required to self disclose any conviction history and will be subject to a criminal background check and credential/education verification. Up to 5 professional references will be requested at a later step in the recruitment process. 

For additional questions, please contact seton-vinsand@uiowa.edu