Penn State Health - Hershey Medical Center

Location: US:PA: Hershey
Work Type: Part Time
FTE: 0.20
Shift: Varied
Evening Shift Differential:$2.50/hour 
Night Shift Differential:$4.00/hour  
Hours: Varied
Recruiter Contact: Taryn Blydenburgh at tblydenburgh@pennstatehealth.psu.edu

Penn State Health is seeking a dedicated Utilization Management Specialist to join our team in a part-time capacity (0.2 FTE). The ideal candidate will bring at least 3 years of acute inpatient bedside nursing experience, along with experience in Utilization Management?either from the provider side (inpatient hospital) or payer side (inpatient concurrent review).

We also welcome applicants with inpatient or payer Case Management experience as a strong alternative.

This role offers flexible scheduling with the expectation of working every other weekend once fully trained. If you're passionate about improving patient care through efficient utilization practices, we encourage you to apply.

Join a team that values clinical insight and quality care coordination.

SUMMARY OF POSITION:

Responsible for the review of clinical documentation in the Electronic Medical Record (EMR), comparing it to the nationally accepted and evidence-based criteria to certify an admission to the facility, and for concurrent/continued stay review as appropriate. Also responsible for maintaining compliance with the CMS Conditions of Participation for Utilization Management.

MINIMUM QUALIFICATION(S):

• Bachelor's Degree in Nursing or Master's Degree in Nursing required.
• Three (3) years of advanced clinical experience in a hospital setting is required. 
• Currently licensed to practice as a Registered Nurse by the state of employment or holds a multistate RN license through the interstate Nurse Licensure Compact. 

PREFERRED QUALIFICATION(S):

• Financial Counseling experience is preferred.

WHY PENN STATE HEALTH?

Penn State Health offers exceptional opportunities to learn and grow, exposure to a wide patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community.

Penn State Health offers an exceptional benefits package including medical, dental and vision with no waiting period as well as a Total Rewards Program that highlights a few of the many additional offerings below:

• Be Well with Employee Wellness Programs, and Fitness Discounts (University Fitness Center, Peloton).
• Be Balanced with Generous Paid Time Off, Personal Time, and Paid Parental Leave.
• Be Secured with Retirement, Extended Illness Bank, Life Insurance, and Identity Theft Protection.
• Be Rewarded with Competitive Pay, Tuition Reimbursement, and PAWS UP employee recognition program.
• Be Supported by the HR Solution Center, Learning and Organizational Development and Virtual Benefits Orientation, Employee Exclusive Concierge Service for scheduling.

WHY PENN STATE HEALTH MILTON HERSHEY MEDICAL CENTER?

Penn State Hershey Medical Center is Central Pennsylvania?s only Academic Medical Center, Level 1 Regional Adult and Pediatric Trauma Center, and Tertiary Care Provider. As a four-time Magnet-designated hospital, Hershey Medical Center values the hard work and dedication that our employees exhibit every day. Through our core values of Respect, Integrity, Teamwork, and Excellence, our employees are a team committed to compassionate care for our diverse patient population, our community and each other. As a valued team member, we promote continued professional development, specialty certification, continuing education, and career growth.

YOU TAKE CARE OF THEM. WE?LL TAKE CARE OF YOU. State-of-the-art equipment, endless learning, and a culture of excellence ? that?s Penn State Health. But what makes our healthcare award-winning? That?s all you.

This job posting is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. Eligibility for shift differential pay based on the terms outlined in company policy or union contract. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities.

Penn State Health is fundamentally committed to the diversity of our faculty and staff. We believe diversity is unapologetically expressing itself through every person's perspectives and lived experiences. We are an equal opportunity and affirmative action employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information. 

Union: SEIU Healthcare Pennsylvania

About Penn State Health

At Penn State Health, our mission is to enhance the quality of life and serve our community through improved health, the education of health professionals, and the discovery of knowledge. For us, service excellence is not only for our patients but also our employees. It means valuing each and every employee.

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