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Medical Policy Specialist
2 months ago
We are seeking a highly skilled Registered Nurse to join our team as a Medical Policy Nurse. In this role, you will be responsible for delivering high-quality patient care and ensuring positive patient outcomes through the compassionate and efficient application of nursing knowledge.
Key Responsibilities- Review patient needs and conditions to deliver nursing care in assigned unit, ensuring every patient receives direct and proper care.
- Analyze patient information, including medical history, diagnostic results, and current condition, to develop individualized nursing care plans.
- Prepare nursing processes, such as medication administration and treatments, to provide comprehensive and effective patient care.
- Reconcile medical records to ensure accuracy and compliance with regulatory standards and organizational policies.
- Evaluate patient response to interventions and identify any additional interventions needed to meet defined goals of care.
- Collaborate with interdisciplinary care team to ensure effective care planning.
- EDUCATION: Associate's Degree (Required), Bachelor's Degree (Preferred)
- EXPERIENCE: 1 year as a Registered Nurse (Required), 1 year in a clinical specialty (Preferred)
- LICENSURE/CERTIFICATION/REGISTRY/LISTING: Registered Nurse license in North Carolina or a Compact state, BLS (CPR)-American Red Cross or AHA Healthcare Provider
