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UR RN Inhouse/Remote (In-House Preferred)

Phoebe Putney Health System, Inc. -
Albany, GA

Apply Now

Job Details

Full-time
12 days ago

Benefits

Wellness program
Health savings account
AD&D insurance
Disability insurance
Health insurance
Dental insurance
Paid time off
Employee assistance program
Vision insurance
403(b)

Qualifications

Direct patient care
RN License
Acute care experience
Associate's degree
Associate Degree in Nursing

Full Job Description

Elevate your nursing practice.
Discover the perfect balance of professional prestige and a place to call home.

UR RN Inhouse/Remote (In-House Preferred)

Albany, GA

Job Number: 34262
Location: Phoebe Putney Memorial Hospital
Address:
417 W 3rd Ave

Albany,

GA
Postal Code: 31701
Shift: Days (United States of America)
Job Type: Full time

The best care happens when nurses feel supported, heard, and connected.

As one of Forbes’ Best Mid-Sized Employers, Phoebe offers a culture where you’re valued as a whole person, not just a practitioner. Outside of work, you’ll enjoy the warmth of Albany, Georgia, a community with a low cost of living, incredible outdoor recreation, and a pace of life that lets you truly enjoy your time off. Grow your career in a system driven by shared purpose and genuine respect.

Unique to Phoebe

Wellness Program
Phoebe HealthWorks Fitness Center
Family Tree Child Development Center
Paid Time Off
Adoption Benefit
Employee Assistance Programs (EAP)

UR RN Inhouse/Remote (In-House Preferred)

Location: Albany, GA Job ID: 34262

JOB SUMMARY

The primary responsibilities of the RN UR Specialist include performing activities related to insurance company notifications, obtaining certifications and authorizations related to Utilization review duties in Care Management. Timely communication of clinical information and updates will be provided to the insurance companies as requested or required by contract or federal and state regulations in support of medical necessity justification and hospital billing and payment for patient care and services rendered. He/she will liaison with third party payers regarding UR requirements, authorization or denial matters, and will assist with complex authorization needs impacting patient transition planning. Proactive communication with Care Manager and Social Work staff will foster coordination and a team approach for key care management functions and meeting patient needs. Will notify Care Managers of potential denials and communicate with patient physician and payer medical director for peer to peer discussions.

GENERAL REQUIREMENTS

Adheres to the hospital and departmental attendance and punctuality guidelines
Performs all job responsibilities in alignment with the core values, mission and vision of the organization
Performs other duties as required and completes all job functions as per departmental policies and procedures
Maintains current knowledge in present areas of responsibility (i.e., self education, attends ongoing educational programs)
Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time.
Demonstrates competency at all levels in providing care to all patients based on age, sex, weight, and demonstrated needs. For non-clinical areas, has attended training and demonstrates usage of age-specific customer service skills.

WORKING CONDITIONS

General environment: Works in a well-lighted, air-conditioned area, with moderate noise levels.
May be exposed to high noise levels and bright lights.
May be exposed to limited hazardous substances or body fluids, or infectious organisms.
May be required to change from one task to another of different nature without loss of efficiency or composure.
Periods of high stress and fluctuating workloads may occur.
May be scheduled as needed including overtime.

EDUCATION REQUIREMENTS

2 year / Associate Degree in Nursing (Required)
4 year / Bachelor's Degree in Nursing (Preferred)

EXPERIENCE REQUIREMENTS

4 - 5 years Recent and relevant acute clinical care experience (Required)
1 - 2 years Utilization review experience in a hospital, managed care or physician office practice setting (Required)

CERTIFICATIONS AND LICENSURES

Required Certifications/Licensures: Registered Nurse (RN) with current Georgia license
Preferred Certifications/Licensures: CCM or CPUR

GENERAL SKILLS

Interpersonal Skills
Customer Relations
Mathematical
Analytical
Grammar / Spelling
Read / Comprehend Written Instructions
Follow Verbal Instructions
Transcription
Microsoft Office Suite
General Clerical Skills
Proficient computer typing skills, use of electronic health record and internet
Able to generate basic spreadsheets and word documents
Highly organized and detail oriented with ability to meet tight timeframes and time sensitive actions
Effective verbal and written communication skills

PHYSICAL REQUIREMENTS

Have near normal vision - Clarity of vision (both near and far), ability to distinguish colors
Have good manual dexterity and eye-hand-foot coordination

PHYSICAL DEMANDS

Standing - Frequently within shift (34-66%)
Walking - Frequently within shift (34-66%)
Sitting - Frequently within shift (34-66%)
Climbing - Occasionally within shift (1-33%)
Bending/Stooping - Frequently within shift (34-66%)
Twist at waist - Frequently within shift (34-66%)
Pushing/Pulling - Frequently within shift (34-66%)
Lift/carry up to 20 lbs - Frequently within shift (34-66%)
Lift/carry > 20 lbs with assistance - Occasionally within shift (1-33%)
Reaching above shoulder - Frequently within shift (34-66%)

RESTRICTIONS ON REMOTE WORK

Phoebe Putney Health System employees are prohibited from working as Remote employees in the following states:

California
Colorado
Connecticut
Hawaii
Maryland
Massachusetts
Michigan
Nevada
New Jersey
New York
Oregon
Rhode Island
Vermont
Washington
Washington D.C.

Apply

Social Perceptiveness

Being aware of others' reactions and understanding why they react as they do.

Active Listening

Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

Coordination

Adjusting actions in relation to others' actions.

Critical Thinking

Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.

Service Orientation

Actively looking for ways to help people.

Speaking

Talking to others to convey information effectively.

Judgment and Decision Making

Considering the relative costs and benefits of potential actions to choose the most appropriate one.

Reading Comprehension

Understanding written sentences and paragraphs in work-related documents.

Monitoring

Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.

What Do Our Nurses Have to Say

There's more for me at Phoebe.

“This is the best team to huddle with.”
There's more for me at Phoebe.

“I’m proud to work for one of Georgia’s best employers.”
There's more for me at Phoebe.

“I love being part of this friendly community.”

Benefits & Perks

Your Health
- Medical Plans (choice of two)
- Dental and Vision Plans
- Health Savings Account (HSA)

Your Coverage
- Short- and Long-Term Disability
- Basic Life and Accidental Death & Dismemberment (AD&D) Insurance
- Critical Illness, Group Accident and Specified Disease Insurance

Your Finances
- 403(b) Retirement Plan
- Financial Wellness Programs
- 529 College Savings Plan

Your Life
- Wellness Program
- Phoebe HealthWorks Fitness Center
- Family Tree Child Development Center

Other Opportunities

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Apply Now

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UR RN Inhouse/Remote (In-House Preferred)

The best care happens when nurses feel supported, heard, and connected.

Unique to Phoebe

UR RN Inhouse/Remote (In-House Preferred)

JOB SUMMARY

GENERAL REQUIREMENTS

WORKING CONDITIONS

EDUCATION REQUIREMENTS

EXPERIENCE REQUIREMENTS

CERTIFICATIONS AND LICENSURES

GENERAL SKILLS

PHYSICAL REQUIREMENTS

PHYSICAL DEMANDS

RESTRICTIONS ON REMOTE WORK

Key Qualities We Value in Our Nursing Team

Social Perceptiveness

Active Listening

Coordination

Critical Thinking

Service Orientation

Speaking

Judgment and Decision Making

Reading Comprehension

Monitoring

What Do Our Nurses Have to Say

Benefits & Perks

Your Health

Your Coverage

Your Finances

Your Life

Other Opportunities

CT Technologist (M-Th 1430-0100

CT Technologist Weekend (F-Sun 1100-2330)

CT Technologist PRN

Physical Therapist- PRN OP Physical Therapy

Specialty Team Leader- Operating Room (Evening Shift 1245-2115)