Utilization Review Analyst RN

As an experienced and passionate Utilization Review Analyst RN at Emory Healthcare, you will have the opportunity to be a part of a team dedicated to ensuring the highest quality of care for each patient. To be successful in this role, it is essential that you have a strong clinical background combined with the ability to analyze and interpret healthcare data. We are looking for an individual who is motivated, organized, and has exceptional problem-solving and communication skills. If you are a Registered Nurse with a current license in the state of Georgia, we would love for you to join our team.

Responsibilities:

1. Develop and implement utilization review plans to ensure the highest quality of care for each patient.
2. Analyze and interpret healthcare data to identify potential areas of improvement.
3. Develop and maintain relationships with clinical staff to ensure utilization review processes are properly followed.
4. Monitor and evaluate utilization review processes to ensure compliance with regulations and guidelines.
5. Provide education and training to clinical staff on utilization review processes.
6. Assist with the development and implementation of policies and procedures related to utilization review.
7. Prepare and submit reports to management regarding utilization review activities.
8. Collaborate with other departments to ensure the effective utilization of resources.
9. Ensure compliance with applicable laws and regulations.
10. Maintain current knowledge of trends and developments within the field of utilization review.

According to JobzMall, the average salary range for a Utilization Review Analyst RN in Atlanta, GA, USA is between $62,741 and $86,290 per year. This range is based on the salary information provided by employers and anonymous employees. Salaries in this range vary depending on experience, education, certifications, and other factors.

319917 Emory Healthcare, part of Emory University, is the largest health care system in the state of Georgia.