Utilization Management Nurse Specialist
6 days ago
We are seeking a highly skilled Utilization Management Nurse to join our team at Presidential Staffing Solutions, LLC. As a Utilization Management Nurse, you will play a critical role in ensuring the efficient and effective delivery of patient care.
Key Responsibilities- Review patient files and treatment information to identify opportunities for improvement
- Monitor staff activity to ensure effective patient treatment and optimize resource utilization
- Advocate for quality patient care to prevent complications and ensure positive outcomes
- Review discharge information for outgoing patients to ensure seamless transitions
- Collaborate with clinical staff to provide excellent patient care and achieve optimal results
- Prepare reports on patient management and cost assessments to inform strategic decision-making
- PRACTICE: Apply the nursing process (assessment, diagnosis, outcome identification, planning, implementation, and evaluation) to deliver high-quality patient care
- Expectations:
- Complete orientation according to expected standards
- Work collaboratively with others to achieve shared goals
- Manage workload effectively and prioritize tasks to meet deadlines
- Participate in the development, implementation, and evaluation of interdisciplinary care
- Perform unit-based inpatient case management duties, including RN case management assessments and discharge planning
- Knowledge of Veteran/patient driven care, patient experience, satisfaction, and safety
- Expectations:
- Establish a therapeutic relationship with patients to promote optimal function and well-being
- Engage patients, families, and caregivers to incorporate their knowledge, values, and beliefs into care planning
- Knowledgeable of ethical issues related to professional nursing practice and adhere to established policies and guidelines
- Aware of high reliability principles to deliver consistent care and improve patient outcomes
- Communicate effectively with internal and external customers to promote cooperation and teamwork
- Utilize leadership principles to perform as an effective member of the interprofessional team
- Participate in unit-based educational activities and continuing education requirements
- Responsible for maintaining competency to continue personal and professional growth
- Aware of evidence-based practice/research to improve quality of care and resource utilization
- Apply evidence-based practice/research to patient care
- Participate in unit-based activities to improve and deliver cost-effective patient care
- Meet the needs of the Veteran and their family, caregiver, and/or significant other
- Communicate and treat the Veteran and their family, caregiver, and/or significant other in a courteous, tactful, and respectful manner
- Provide consistent information according to established policies and procedures
- Understand the particular needs of patients across the lifespan, including middle-aged and geriatric patients
- Sensitivity to the special needs of all patients in respect to age, developmental requirements, and culturally related factors
- Protect printed and electronic files containing sensitive data in accordance with applicable laws and regulations
- Report all known information security incidents or violations to the supervisor and/or the Information Security Officer immediately
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