Utilization Review Department. On-call position. Works as needed Monday through Friday; flexible day hours. Is responsible for coordinating each patient’s hospitalization from preadmission through discharge by assessing the medical appropriateness, quality, and cost-effectiveness in accordance with established criteria and policies. This review activity is performed in collaboration with patients, family, providers, and other professionals and my be conducted prospectively, concurrently, or retrospectively. Provides case management interventions by assessing, monitoring, evaluating options and services to provide an appropriate, individualized plan for each patient across the continuum of care. Registered Nurse with hospital experience preferred with at least two years of clinical experience; previous case management, insurance notification and Milliman Care guidelines preferred. Computer knowledge required. Must have current Iowa license. Must be a graduate from an approved Professional Nursing program.