Please answer the questions clearly and concisely. Label the questions and answer them below. The answers should be from a utilization review nurse standpoint. Be as simple and as clear as possible. Use the answered questions as an example. Do research to help answer the questions.
3. What is your ultimate career goal ? How does that goal fit into this specific job?
My ultimate goal is to become full time
4. Tell me about your experience in utilization management/review and how you have been successful in your role?
I am passionate about helping members/patients/and their families receive the care they need while ensuring the millinen and or guidelines are met. I’ve worked in healthcare for about 14 years now, and during my time as a registered nurse, I developed excellent communication and problem-solving skills. These skills allow me to collaborate with other medical professionals to find solutions to challenging utilization review cases.
5. Give us an example of a time when you were able to identify a complex problem, evaluate the options, and present a solution. What was the overall outcome?
6. When have you had to deal with an irate member/patient? What did you do ? How did the situation end up?
When I encounter an angry or unhappy patient/member, I start by approaching the situation with a calm and helpful demeanor. Listening to their concern and figure out what is what has made them unhappy. I will try and think about how I would solve the problem and clearly communicate what steps I will take to address their concern adequately.
7. Describe a time when you were able to effectively communicate a difficult or unpleasant idea to a patient/member.
8. Tell me about a time when you did not agree with a decision from a physician. How did you deal with the situation ?
9. What do you do when your schedule is suddenly interrupted by unforeseen circumstances? Give me an example of how you’ve managed this.
10. Describe the type of work environment or culture you have worked in?(Share examples like the pace of work, level of professionalism, and resources available.) Which one have you found to be the most productive and you’ve enjoyed working in most. Why? 12. Are you interviewing for any other positions? What is your timeline?
13. Tell us how you see yourself transioting from UR on-call to a staff utilization nurse?
a. I am focused on any job I am working at. I am devoted and passionate as a nurse manager.
14. Give us an example of a time when you had to advocate for a member, if when the service was not covered.
15. Describe what skills or qualities are important for dealing effectively with members/patients? Give an example of use of these skills.
16. Give us an example of how you respond to constructive criticism from a subordinate and/or peer.
17. Describe how you like to be managed best relationship you have had with a previous boss?
18. What do you think will be your greatest challenge in this role during the first 60days?
I think the most challenging part within the first 60 days would be not knowing the answer to the members question. For example, the members husband calling to find out Pidemont hosp is contracted with DCP. At the time I did not know the answer and the spouse was becoming upset. However, I maintained calm and expressed my answer clearly and compassionately so he could understand my reasoning. Allowing me to build trust.
19. What do you do when a co-worker calls in sick, thus making a heavier workload. Give us an example of how you managed this.
Understand the department needs, be flexible, cooperative understanding and fulfill the department needs.
20. Tell us of a time when you identified a physician missed information on a patient. How did you deal with the situation?
21. In this position, you will be providing guidance to administrative staff. What skills do your bring in a leadership role, and as a team player?
22. Have you ever had to perform duties that were not a part of your role for the team to be successful? Give an example.
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