Nurse Case Manager
1 month ago
The Utilization Review RN is accountable for a designated caseload and plans effectively to manage the length of stay, promote efficient utilization of resources, and facilitate payer authorization.
Key Responsibilities:- Facilitate collaborative management of patient care, intervening as necessary to remove barriers to efficient care delivery.
- Apply process improvement methodologies in evaluating the outcomes of care coordination.
- Support and coach clinical documentation by staff and providers, ensuring documentation reflects the severity of illness and intensity of service.
- Computer skills with demonstrated knowledge of Microsoft Office, including Outlook and Excel.
- Minimum of five years acute care nursing experience, one year of case management, discharge planning, and/or utilization review experience.
- Knowledge of performance improvement principles, tools, and techniques.
- Case Management certification.
- Prior travel experience and BSN are preferred.
- Work History.
- Skills Checklist (pertinent to position), current to 1 year.
- 1 Supervisory Signed Reference (from within the past two years of employment).
- License/Certifications - Must be uploaded with profile.
- BLS (AHA).
- New Hampshire.
- NH license or Compact must be in hand upon time of submission.
- Occasional weekends as needed / Holiday rotation as needed.
- No call.
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