Utilization Review RN
1 month ago
Description
IntroductionLast year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Utilization Review RN with HCA Florida Largo West Hospital you can be a part of an organization that is devoted to giving back
BenefitsHCA Florida Largo West Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
- Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
- Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
- Free counseling services and resources for emotional, physical and financial wellbeing
- 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
- Employee Stock Purchase Plan with 10% off HCA Healthcare stock
- Family support through fertility and family building benefits with Progyny and adoption assistance.
- Referral services for child, elder and pet care, home and auto repair, event planning and more
- Consumer discounts through Abenity and Consumer Discounts
- Retirement readiness, rollover assistance services and preferred banking partnerships
- Education assistance (tuition, student loan, certification support, dependent scholarships)
- Colleague recognition program
- Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
- Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the HCA Florida Largo West Hospital family We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Utilization Review RN to help us reach our goals. Unlock your potential
Job Summary and QualificationsWe are currently seeking a Utilization Review RN to join our team. As our Utilization Review RN you will provide ongoing support and expertise through comprehensive assessment, planning, implementation, and overall evaluation of individual patient needs. In addition, while enhancing the quality of patient management and satisfaction, you will promote continuity of care and cost effectiveness through the integration of case management and utilization review management. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. Take the next step in your career.
What you will do in this role:
· You will ensure all admissions and continued stays meet clinical criteria for appropriateness and medical necessity.
· You will work with the Discharge Planner to ensure the discharge planning process is active and meets the needs of the patient through the continuum of care.
· You will participate in Treatment Planning to ensure plans meet patients clinical, psychological and discharge needs in collaboration with the attending physician and interdisciplinary team.
· You will assess the mental & health status of assigned patients by collecting and analyzing patient and family data, and expedites and coordinates the delivery of services to facilitate patient's progression through the healthcare system.
· You will perform admission certification screening for patients in accordance with Utilization Plan using ISD criteria, and performs concurrent stay reviews at least every 48 hours for severity of illness using ISD criteria.
· You will track and trend barriers to care; make recommendations and develop action plans to improve processes and systems.
What qualifications you will need:· Completion of RN Diploma program or related health care program
· Minimum of three years recent behavioral health inpatient or related health care experience
· Licensure as a Florida Registered Nurse in accordance with state regulations or appropriate compact licensure. If compact license held, active FL RN license required within 60 days of hire.
· Level II Fingerprinting required.
· Crisis Prevention Intervention (CPI) training required.
· Critical thinking, service excellence and good interpersonal communication skills, ability to read/comprehend written instructions, ability to follow verbal instructions, PC skills, demonstrates analytical and critical thinking abilities with pro-active decision-making and negotiation skills, strong knowledge of governmental and private organization and community resources.
This role requires you to be fully vaccinated for COVID-19 based on local, state and/or federal law or regulations (unless a medical or religious exemption is approved).
HCA Florida Largo Hospital is the premier healthcare provider in Pinellas County and beyond. With 455 beds and over 650 sites of care, HCA Florida Healthcare is the largest healthcare network in Florida. Our hospital offers a wide range of specialty services, including advanced cardiac care, complex GI services, kidney and liver transplantation, weight loss surgery, advanced stroke care, and robotic surgery. Our Graduate Medical Education program is affiliated with USF Morsani College of Medicine, ensuring that our patients receive the highest quality care from the most skilled and knowledgeable medical professionals. Pick HCA Florida Largo Hospital for all your healthcare needs.
HCA Healthcare has been recognized as one of the Worlds Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.HCA Healthcare Co-Founder
Be a part of an organization that invests in you We are reviewing applications for our Utilization Review RN opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
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