Manager Utilization Management – Penn State Health Patient Access

Penn State Health Shared Services

Location: US:PA:Camp Hill
Work Type: Full Time
FTE: 1.0
Shift: Days
Hours: Eight (8) hours

Recruiter Contact: Patty Shipton at pshipton@pennstatehealth.psu.edu

Penn State Milton S. 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 three-time Magnet designated hospital, Hershey Medical Center values the hard work and dedication that our nurses exhibit every day. Through our core values of Respect, Integrity, Teamwork and Excellence, our nurses 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.

Located in Hershey, PA, Hershey Medical Center is part of a strong community that is enriched with socially-minded organizations and individuals working to create a wonderful place to live. In the heart of Central Pennsylvania, Hershey is a combination of rural, suburban and city living that is within a short distance to some of the busiest east coast cities including New York, Washington DC and Philadelphia. To learn more, visit pennstatehealth.org.

JOB SUMMARY:

The Registered Nurse in this role is 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. The RN is also responsible for maintaining compliance with the CMS Conditions of Participation for Utilization Management. This position will cover inpatient areas.

MINIMUM QUALIFICATIONS:

  • Registered Nurse with a license to practice professional nursing in the state of Pennsylvania or a Registered Nurse from another state with a Temporary PA Practice Permit
  • 3 years advanced clinical experience in a hospital setting required
  • Bachelor’s degree required

PREFERRED QUALIFICATIONS:

  • Bachelor's degree in Nursing preferred 
  • Master's degree preferred
  • Demonstrated ability to problem solve complex, multidimensional situations required
  • Ability to successfully manage conflict and negotiate "win-win" solutions required
  • Strong organizational, task prioritization and delegation skills required
  • Strong oral and written communication skills required
  • Ability to work independently required
  • Financial Counseling experience preferred

In addition to a rewarding career, we also offer great benefits including but not limited to:

  • Paid Time Off and Personal Time
  • Medical Benefits (No waiting period)
  • Dental and Vision Benefits
  • Penn State University Tuition Assistance (Full-Time Employees)
  • Elder Care/Child Care Resources
  • Life Insurance
  • Company Sponsored 401K
  • Relocation Bonus for those who qualify

This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position.  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. If you are unable to use our online application process due to an impairment or disability, please call 717-531-8440 between the hours of 8:30 AM and 4:30 PM, Eastern Standard Time, Monday – Friday, email hrsolutions@pennstatehealth.psu.edu or download our Accommodation Instructions for Job Applicants PDF for more detailed steps for assistance.

Union: Non Bargained

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