Registered Nurse Concurrent Utilization Review

Demonstrates fiscal responsibility related to patient needs, resource utilization, payer requirements and organizational goals.  Screens patients for admission criteria (medical necessity/patient status/level of care) utilizing InterQual® criteria and documenting the review in the CERME® software system.  Conducts reviews as established by CMS guidelines and Utilization Management processes. Secures authorization/certification for services by communicating necessary and requested information with payors.  Communicates information that will impact the discharge plan to the Transitional Care Coordinator and Case Managers to ensure high quality care coordination.

Tucson Medical Center (TMC) is Tucson’s only non-profit community owned hospital. Employees choose to work at TMC because of our of integrity, community, dedication, and compassion which we show through the exceptional care we provide to our patients and our community. Our passion for caring for the Tucson community has expanded over the last to include community partnerships, new medical specialties, and medical clinics to further provide the care our community deserves.

Why Join Tucson Medical Center?

We don’t only care for our patients, we care for our TMC family too. As a member of our family you can expect to enjoy a wide variety of benefits. In addition to all the benefits you would expect from a leading medical facility (medical, dental, vision, 401K with match) we also provide:

• Family Style Atmosphere with a Supportive Team 
• Competitive Pay
• Career Growth Opportunities
• Tuition Reimbursement
• Health and Wellness Coaching

MINIMUM QUALIFICATIONS

EDUCATION:  Graduation from a qualified, nationally-accredited nursing program required.  Bachelor’s degree preferred.

EXPERIENCE:  Three (3) years RN nursing experience, preferably in an acute care setting.  Three (3) years experience working in a case management or utilization review role preferred. 

LICENSURE OR CERTIFICATION:  Active unrestricted RN license within the State of Arizona, or NLC.