RN Utilization Review Job at Confident Staff Solutions, Manhattan, KS

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  • Confident Staff Solutions
  • Manhattan, KS

Job Description

Summary

Department: Utilization Mgmt

Shift timings: 7:3016:00 Monday to friday (5 Days/ 8 Hours)

Per Week: 40 Hours

ICU8beds Medical25 Surgical25 Meditech Preferred work in all above areas Use of MCG criteria Use of Interqual criteria

Roles & Responsibilities

  • Concurrent review of patients clinical information for efficiency
  • Ongoing review of precertification requests for medical necessity
  • Monitor the activities of clinical and nonclinical staff
  • Coordinates patients discharge planning needs with the healthcare team
  • Employ effective use of knowledge critical thinking and skills to:
    • Advocate quality care and enhanced quality of life
    • Prevent patient complications during hospital stay
    • Advocate decreased hospital stay when appropriate
  • Maintain accurate records of all patient related interactions
  • Prepare monthly patient management and cost savings report
  • Work in an intensive fastpaced environment with minimal supervision
  • Ability to stay organized and interact well with others in any situation
  • Provide daily updates to Manager of Utilization Management for review

Minimum Qualifications

  • Bachelors degree in Nursing
  • State licensure as a Registered Nurse (RN)
  • Minimum 2 years of prior experience in Utilization Management

Required Skills

RN Utilization Review

Remote Work :

No

Job Tags

Shift work, Monday to Friday,

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