Utilization Review Nurse

Vocational Nurse OpportunityExplore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together.The vocational nurse provides nursing care to patients in an assigned clinical area, under the supervision of a Nurse Supervisor, or Nurse Coordinator. The LVN applies clinical nursing knowledge and utilizes demonstrated skills to ensure the safety and comfort of patients and families according to legal, organizational and professional standards. The LVN identifies priorities and makes judgments concerning basic needs of multiple patients in order to organize care.Work Hours: 9am-6pm Monday-Friday.Primary Responsibilities:Clerical: Review doctor's schedule, abstract as needed, print PVS for each patient and request other relevant information needed for patient's visit that dayPrepares and submits patient documents for scanningMonitor assigned in basket and complete work as needed-Overdue Results/LettersSchedule appointments and assist patient with specialty referrals and radiology testingProvide pre-printed patient educational material as directed by providerProper disposal of confidential patient information -dailyFollows HIPAA policy and procedures regarding patient confidentialityReinforce patient teachingIdentify basic health related learning needs of patientPrepare and submit UR and other referrals as directed by the physicianCall in prescriptions as directed by the physicianPatient Care: Monitor in basket for orders placed by physician and perform tasks that need to be completed (i.e. waived testing, EKG's, specimen collection, spirometry, hearing, vision); reports and accurately documents patient responseDocument observations related to health status and report findingsRooms patients on arrival as rooms become available:Obtain patient's demographic information, history, chief complaintVerify patient allergies and documents vital signs per policyReconcile medication list with patient at each visit and update preferred pharmacyDocuments patient education to include patient's learning method, preferred language, if needs an interpreter and ability to read, and include appropriate education for office visitComplete questionnaires when appropriate (ie lead, TB, flu, New Patient Intake)Prepares patient and room for physician visitAssist physician with preparing patient for examination & minor office proceduresPerform activities of daily living on patients as needed (ie emptying ostomy bags, changing adult and pediatric diapers)Transport patient within facility as neededPerforms/Obtains: EKG, Waived Testing (Capillary Blood Glucose, Hemocult, Urine Pregnancy), Hearing & Vision Testing, Sterilization of Instruments, and procedures. Report and document patient responseCollects & prepares lab specimens (Urinalysis, Pap Smear, Biopsy, Cultures) and transports to labPerform CPR as needed and assist during times of emergencyMedication administration using the 7 rights, document, monitor, and report response.Telephone management: collect pertinent patient information to help determine health care need and document in the medical record. Report information to physician for directionDepartmental Maintenance: Monitor supplies, medications and forms and notifies appropriate staff when reorder neededRemove and tag broken equipment and notifies coordinator, supervisor, or managerCleans exam rooms daily and documents on logMonitors supplies for expiration date and restock to par levelsPerform sterilization of instruments and complete logs (assignment based on completion of sterilization class and delegation by appropriate nursing staff)Attends staff meetingsMaintain a clean and organized work area with a minimum of personal itemsQA-Regulatory: Complete daily logs as assigned by nursing supervisor or coordinator:Waived testing (ie glucometer, urine dipstick and urine pregnancy logs) CLIA standardsRefrigerator and room temperature logsEye wash stationOther QA logsPerforms accurate, legal, & ethical documentationMaintain patient confidentialityPractice OSHA safety standards with proper disposal of biohazard wasteUses frequent hand washing or hand sanitizer (up to 10 times before have to wash hands with soap and water, unless hands visibly soiled) to prevent and control the spread of disease within the clinical settingUses gloves and PPE as neededUses aseptic or sterile technique as neededVerify equipment has a current PM label before useIdentifies and reports potential barriers for the safe provision of patient care and maintains a safe patient environmentResponsible for personal growth and career development. Demonstrates competency during annual skills, Reports unsafe practices. Participates in continuing nursing education programsCustomer Service: Works with patients to achieve excellent customer service and high levels of satisfactionPractices mutual respect among all members of the healthcare teamWorks with other staff to promote an efficient and effective healthcare teamDemonstrates Kelsey-Seybold's Mission and ValuesMeets both Clinic and individual Customer Service goals and standards by maintaining 90% or greater of excellence in customer serviceProvides age appropriate interactionsTelephone EtiquetteAnswer and direct incoming calls to appropriate staff using a caring non-rushed toneIdentify clinic, department, name and job title in health care team Ensure accurate information is obtained and communicated to the physicianReport and provide documentation of all complaints to coordinator, supervisor, manager or Clinic Administrator Utilize warm transfer process when redirecting patient to ensure needs are metFinancial: Demonstrates prudent use of resources. Minimizes wasteful actionsAssists with maintaining equipment according to manufacturer's recommendationReports to coordinator, supervisor, manager, or clinic administrator the need for over-time and obtains approvalQuality Improvement: Contributes and participates in the department and clinic process improvement plans. (PDSA)Supports and provides department leadership for initiatives related to meeting AAAHC and other accrediting standardsFollows all safety standards for patients, employees and visitorsRecognizes and adheres to National Patient Safety GoalsImmunization Nurse: Demonstrates knowledge and skill needed to provide safe and effective immunization to facilitate patient care. Which includes but not limited to: Routine Immunization administrationForeign travel immunizations and consultationTB skin test application and readingAllergy immunotherapy injectionsMedication administrationsDocuments administrationsKnows how to access the a resource RN when neededSeeks clarification or guidance with questions related to medication and immunization administrations from the physicianOtherYou'll be rewarded and recognized for your performance in an environment that