Registered Nurse - Utilization Review Case Manager
Company: PCRecruiter Jobs
Location: Missoula
Posted on: October 17, 2020
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Job Description:
Utilization Review Case Manager NurseFull Time***$10K SIGN ON
BONUS***McCall and Lee has been brought on to find a Registered
Nurse of Utilization Review Case Management. If you are a
individual that is looking to escape the hustle and bustle of the
big city, for a scenic location surrounded by beautiful lakes,
mountains, and amazing outdoor activity, this opportunity could be
for you. POSITION OVERVIEW: The Case Manager Utilization Review
Nurse promotes cost effective allocation of the resources while
maintaining the highest quality of care. The UR/Case Manager is
responsible for overseeing utilization of services, reviewing
medical necessity of admission, appropriateness of setting,
extended stays and professional services. Addresses medical
necessity denials with attending physician and UR committee. The
UR/Case Manager reports statistical information including but not
limited to the number of admissions, payor source, length of stay,
condition 44s, condition code W2 and number of readmissions. The
UR/Case Manager is responsible for the completion and documentation
of the discharge plan evaluation and the coordination and
documentation of the discharge plan. The UR/Case Manager RN works
with the multidisciplinary team to ensure that all patients are
safely transitioned to the most appropriate level of care once the
physician has determined acute care is not longer necessary. In
collaboration with the patient's primary nurse, the UR/Case Manager
RN will assist in providing thorough patient education, and
discharge instructions as appropriate. With the support of
Administration and Clinical Leadership, the UR/Case Manager RN will
comply with Joint Commission standards for Case
Management/Discharge planning and Utilization Review.SHIFT: Monday
- Friday 8:00AM - 5:00PMMINIMUM QUALIFICATIONS:Must be a registered
nurse and have minimally 3 years experience in nursing. Requires
experience in chart review.LICENSE/CERTIFICATIONGraduate from
accredited Nursing Program; Bachelor's Degree
preferredKNOWLEDGE/SKILLS/ABILITIESUtilization Review, Case
Management, and Quality Review and Management experience preferred.
Needs to be highly skilled interacting with people at all levels of
the organization. Must possess exceptional leadership and
interpersonal skills, be customer service oriented, and work as an
integral part of the team. Requires flexibility, independent
thinking, and problem solving skills. Must be able to demonstrate
ability to initiate and develop special projects. Must be able to
handle a busy work load. If you are interested in applying for this
position please reach out to the recruiter listed below: Matt
Morgan - Recruitermattm@mleehealthcare.com
Keywords: PCRecruiter Jobs, Missoula , Registered Nurse - Utilization Review Case Manager, Executive , Missoula, Montana
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