RN Utilization Review
Hired by Matrix
Job Title: RN Utilization Review
City: Portales
State: NM
Job Type: Travel
Discipline: RN
Speciality: Utilization Review
Facility Setting: Short Term Actut Care (STAC)
Accepting Locals per Radius Rule?: Yes
Contract Length: 13 weeks
Shifts: Days
Shift Details: Day 5x8-Hour
Weekly Schedule: 40 Hours
Certifications/License: Mandatory Experience:
We want to hear from you! If you think you'd be a good match, submit your resume and reach out to Shrishti at View phone number on click.appcast.io to learn more.
City: Portales
State: NM
Job Type: Travel
Discipline: RN
Speciality: Utilization Review
Facility Setting: Short Term Actut Care (STAC)
Accepting Locals per Radius Rule?: Yes
Contract Length: 13 weeks
Shifts: Days
Shift Details: Day 5x8-Hour
Weekly Schedule: 40 Hours
Certifications/License: Mandatory Experience:
- Routine case management, discharge planning, swing bed coordinator and utilization review duties.
- Evaluating and screening potential admissions to the facilities swing bed program
- knowledgeable of criteria for Medicare, Medicaid, HMO, swing bed and private insurance coverage
- Initiate ongoing communication with the resident and resident's family to assess discharge needs.
- Actively involvement in daily rounds with bedside staff, physicians and ancillary team members
- Communicate with physicians to ascertain their plans for a timely discharge.
- document updates and discharge planning as an ongoing review.
- Manage and collaborate with the healthcare team on swing bed placement and complete MDS documentation as necessary.
- assist with obtaining referrals, prior authorization for Home Health Care, CME, SNF, acute rehab and appointments.
- Educates physicians and staff regarding appropriate level of care/utilization and required documentation that meets admission status
- Run Interqual for each IP and OBS patient admitted to the floor
We want to hear from you! If you think you'd be a good match, submit your resume and reach out to Shrishti at View phone number on click.appcast.io to learn more.
Vacancy posted 2 days ago
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