CLINICAL REVIEW RN PRN
Camden, New Jersey
Overview
At Cooper, our dedicated nurses are the foundation of our commitment to exceptional care. As South Jersey’s leading academic health system and only Level I Trauma Center, we deliver compassionate care across the care continuum. With a vast geographic reach encompassing urban and suburban settings, Cooper offers a diverse environment for professional nursing practice.
Success Profile
We’ve identified several CLINICAL REVIEW RN PRN personality traits that best fit within our organizational infrastructure, company culture, and shared values. Are you a match?
- Achiever
- Adaptable
- Good Listener
- Helpful
- Results-driven
- Self-starter
Mission and Values
At Cooper University Health Care, we’ve built an environment where everyone is passionate about learning, healing, and service. Making this mission a reality means cultivating supportive, inspiration-focused conversations between our team members at every level. We’re proud of the purpose-driven culture our team shares, and the outcomes it produces for our patients.
Cooper University Health Care is a leading academic health system where our nurses work alongside some of the best clinicians in the world to treat unique and complex cases. At Cooper, we strive to support nurses to be the best through collaborative work environments, educational and professional development opportunities, as well as career advancement. If you’re looking to learn, grow, and further your nursing career, Cooper University Health Care is the right place for you. Join us today. Learn why there are nurses … and then there are Cooper nurses.
- Kathy Devine, DrNP, RN, NEA-BC
SVP / Chief Nursing Executive
Employee Voices
Benefits
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Retirement
Cooper University Health Care offers a 403(b) retirement plan administered by Fidelity Investments that enables team members to save and plan for retirement through pre-tax and post-tax (Roth) contributions. All new team members of Cooper University Health Care will have 3% of compensation automatically deducted from their pay each payroll period and directed to their account at Fidelity Investments. Deferral percentages can be changed with Fidelity at any time, once enrolled. A match contribution of 50% of the team member’s contributions up to 5% of annual salary is available once eligible.
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Medical/Dental
Cooper’s medical plans are provided by Horizon Blue Cross Blue Shield. Each of the medical plans offers flexibility and freedom to use any Cooper or network provider in Horizon Blue Cross Blue Shield’s PPO, Blue Card network. Each plan has a wide range of preferred providers and services that may have no out-of-pocket cost when using Cooper providers, depending on the plan chosen. Prescription drug coverage is included in each of Cooper’s medical plans. Dental benefits are provided through Delta Dental PPO plans and Sun Life DMO. Comprehensive vision coverage is offered through Eyemed.
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Tuition Assistance
Cooper University Health Care believes that ongoing education is important, both personally and professionally. Benefits eligible team members are able to take advantage of Tuition Assistance once 3 months of employment are completed. Cooper also provides annual assistance towards professional certifications and related organization memberships.
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Educational Partnerships
Cooper is proud to partner with world class educational institutions
- Atlantic Cape Community College
- Tomas Edison State University Bayada Scholars Program at Cooper
- Rutgers- Blackwood
- Camden County College
- Drexel University
- Gwynedd Mercy University
- Holy Family University
- Jefferson University
- La Salle University
- Our Lady of Lourdes School of Nursing
- Rowan College of Burlington County
- Rowan University
- Rowan College of South Jersey
- Rutgers Camden
- Rutgers New Brunswick
- Stockton University
- TCNJ
- Thomas Edison State University
- University of Pennsylvania
- Widener University
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Nursing Recognition and Excellence
We are always looking to highlight the amazing work of our team members. Through-out the year nurses are recognized through Daisy nomination, unit awards, and rounding recognitions. For those nominated by their leaders and peers Cooper holds Annual Nursing Excellence Awards for their clinical abilities, leadership, mentorship and commitment to upholding the Cooper mission: To serve, to heal, to educate.
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Professional Development
Cooper is committed to nurses' professional growth and development. A variety of classes and courses are offered for learning new content and skills focused specifically on current and future career goals. Cooper nurses are provided with the opportunities to become involved in precepting, mentorships, research, interprofessional education, Grand Rounds and presentations.
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Professional Governance
Professional Governance: Cooper nurses are encouraged to participate in our shared decision-making structure that gives them autonomy in defining and determining their practice. Professional governance allows for collaboration and communication across all levels of nursing to drive quality patient and workforce outcomes.
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Nursing Residency
Cooper's Nurse Residency Program provides a unique opportunity for our new-to-practice RNs to develop confidence in clinical decision-making skills, build a community with colleagues, and enhance their professional practice.
Responsibilities
CLINICAL REVIEW RN PRN
Camden, NJJob ID 34421Job Type Per DiemShift DaySpecialty Nursing PoolAt Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to its employees by providing competitive rates and compensation programs. Cooper offers full and part time employees a comprehensive employee benefits program, including health, dental, vision, life, disability and retirement, and also offers attractive working conditions, and the chance to build and explore a career opportunity by offering professional development.
Discover why Cooper University Health Care is the employer of choice in South Jersey.
Short Description
- Utilizes Payer specific screening tools as a resource to assist in the determination process regarding level of service and medical necessity.
- Performs utilization review in accordance with all state mandated regulations.
- Consults with Physician Advisor to discuss medical necessity, length of stay, and appropriateness of care issues.
- Identify and manage concurrent and retroactive denials through communication with attending physicians, case management, multidisciplinary team, external physician resource group and payers.
- Completes documentation of review and denial processes in the EPIC Case Management Module
- Responds to requests from the payer for all required information and treatment plans.
- Reviews and validates physician’s orders, reports progress and unusual occurrences on patients to the payer.
Experience Required
- 3-5 years of recent clinical experience, preferably in area of population specialty.
- Experience in utilization management or review preferred.
- Knowledge and understanding of disease protocols and clinical pathways for commercial and government payors. Familiarity with Interqual and Millimen guidelines and regulatory mandates preferred.
- Strong communication (written and verbal) and critical thinking skills required. Professional and effective presentation skills required.
License/Certification Requirements
- Current NJ-RN License required
Special Requirements
- Effective problem-solving skills, including the ability to analyze complex situations, draw conclusions and implement actions appropriately and efficiently.