Utilization Review Coordinator PRN
5 days ago
Job Description Responsibilities To provide quality case management services to all patient populations and their families. To serve as a member of the interdisciplinary team supporting the organization’s treatment program and philosophy and assure the deliverance of quality treatment to patients and their families. To proactively monitor and optimize reimbursement for organization services. • Maintain appropriate records of the Utilization Review Department. • Prepare and submit appeals. • Attends mandatory training. • Conducts admission reviews and pre-certs. • Conducts concurrent and extended stay reviews. • Prepares and submits appeals to third party payors. • Schedules and conducts treatment team meetings to provide total case management of the patient by reading and discussing written progress notes from charts and communicating any state or local agency legal requirement for case management with the interdisciplinary team. • Participates in activities which enhance professional growth and development. • Demonstrates conduct in keeping with CCBH’s ethical standards. • Complies with facility safety, infection control and security program. • Supports facility service excellence standards. Qualifications Graduate of accredited RN program with current RN license, or a Masters in Counseling/Social Work or related field. Experience in psychiatric nursing preferred; high school, preferably college level reading, writing, and math skills. Excellent telephone, computer, and communication skills. Knowledge of health care service delivery systems and third party reimbursement; understanding of admission and discharge function. Familiar with medical terminology, diagnostic terms and treatment modalities; knowledge of medical record keeping; strong interpersonal, organizational, evaluative, and time management skills; policy interpretation skills. Must be familiar with applicable standards and regulations. Flexible; pays attention to detail; able to comprehend psychiatric evaluations, consults, labs, etc.; responsiveness to deadlines; assertiveness, persistence and persuasiveness; able to work with minimal direction or supervision.
-
STAFFING COORDINATOR
7 days ago
Greer, SC, United States UHS Full timeResponsibilities SUMMARY OF JOB DUTIES: Generates, manages and updates master schedules for the Nursing and/or Social Services Department, while making adjustments as needed, according to budget constraints, census fluctuations, call outs, and pre-planned leaves of absence. Establishes and maintains a professional relationship with the administrative and...
-
STAFFING COORDINATOR
7 days ago
Greer, SC, United States Universal Health Services Full timeResponsibilities SUMMARY OF JOB DUTIES: Generates, manages and updates master schedules for the Nursing and/or Social Services Department, while making adjustments as needed, according to budget constraints, census fluctuations, call outs, and pre-planned leaves of absence. Establishes and maintains a professional relationship with the administrative and...
-
STAFFING COORDINATOR
1 week ago
Greer, SC, United States UHS Full timeResponsibilities SUMMARY OF JOB DUTIES: Generates, manages and updates master schedules for the Nursing and/or Social Services Department, while making adjustments as needed, according to budget constraints, census fluctuations, call outs, and pre-planned leaves of absence. Establishes and maintains a professional relationship with the administrative and...
-
STAFFING COORDINATOR
1 week ago
Greer, SC, United States UHS Full timeResponsibilities SUMMARY OF JOB DUTIES: Generates, manages and updates master schedules for the Nursing and/or Social Services Department, while making adjustments as needed, according to budget constraints, census fluctuations, call outs, and pre-planned leaves of absence. Establishes and maintains a professional relationship with the administrative and...
-
STAFFING COORDINATOR
2 weeks ago
Greer, SC, United States Universal Health Services Full timeResponsibilities SUMMARY OF JOB DUTIES: Generates, manages and updates master schedules for the Nursing and/or Social Services Department, while making adjustments as needed, according to budget constraints, census fluctuations, call outs, and pre-planned leaves of absence. Establishes and maintains a professional relationship with the administrative and...
-
STAFFING COORDINATOR
2 weeks ago
Greer, SC, United States Universal Health Services Full timeResponsibilities SUMMARY OF JOB DUTIES: Generates, manages and updates master schedules for the Nursing and/or Social Services Department, while making adjustments as needed, according to budget constraints, census fluctuations, call outs, and pre-planned leaves of absence. Establishes and maintains a professional relationship with the administrative and...
-
STAFFING COORDINATOR
1 week ago
Greer, SC, United States UHS Full timeResponsibilities SUMMARY OF JOB DUTIES: Generates, manages and updates master schedules for the Nursing and/or Social Services Department, while making adjustments as needed, according to budget constraints, census fluctuations, call outs, and pre-planned leaves of absence. Establishes and maintains a professional relationship with the administrative and...
-
STAFFING COORDINATOR
1 day ago
Greer, SC, United States UHS Full timeResponsibilities SUMMARY OF JOB DUTIES: Generates, manages and updates master schedules for the Nursing and/or Social Services Department, while making adjustments as needed, according to budget constraints, census fluctuations, call outs, and pre-planned leaves of absence. Establishes and maintains a professional relationship with the administrative and...
-
PRN-Registered Nurse
2 weeks ago
Greer, South Carolina, United States Spartanburg Regional Healthcare System Full timeJob Requirements Unit Description3th Floor at Pelham Medical Center is a 24-bed Multi-Specialty Acute Care Tele Unit. The types of cases that can be seen on this unit are Major Respiratory Infection/Inflammation, Pneumonia and Heart Failure. The typical nurse to patient ratio is 1:5.We are a highly engaged team that is dedicated to providing high quality,...
-
PRN - Speech Therapist - Pelham Medical Center
2 weeks ago
Greer, United States Spartanburg Regional Healthcare System Full timeJob Requirements We are hiring a Speech Therapist to join our team! PRN; 8:00am to 4:30pm The Speech-Language Pathologist evaluates and treats patients by referral. He/she plans treatment programs and performs therapy to restore function, prevent disability, and maximize the potential and quality of life following disease, injury or surgery. He/she performs...
