Healthcare Operations Coordinator
3 days ago
St. Tammany Health System is nestled in the heart of Covington on the north shore of Lake Pontchartrain, offering a peaceful and scenic community-oriented area with an abundance of amenities to suit every taste. We are committed to equal employment opportunity for all employees and applicants without regard to race, color, religion, sex, age, national origin or ancestry, citizenship, sexual orientation, gender identity, veteran status, disability status, genetic information, or any other protected characteristic under applicable law.
About the PositionThe Healthcare Operations Coordinator - Utilization will assist in the development, planning, coordination, and administration of utilization management activities. This role requires a strong understanding of CPT-ICD-9 coding principles and DRG management, as well as excellent written and verbal communication skills. The ideal candidate will have a graduate degree in Nursing, current R.N. licensure by the Louisiana State Board of Nursing, and at least five years of hospital nursing experience.
Responsibilities- Review medical records to determine appropriateness and medical necessity of admission, continued stay, use of resources, and discharge readiness.
- Collaborate with the Department Head to develop and implement utilization management strategies.
- Graduate of accredited school of Nursing.
- Maintains current R.N. licensure by the Louisiana State Board of Nursing.
- Five years of hospital nursing experience preferred.
- Experience in the field of Utilization Management activities highly preferred.
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