Nurse Utilization Review

Found in: Resume Library US A2 - 7 days ago

Roseburg Oregon, United States CommonSpirit Health Full time
Overview:
CHI Mercy Health offers the unique opportunity to grow professionally in a supportive highly rewarding work environment and to satisfy your soul in the surroundings of a breathtakingly beautiful natural setting. More than 100 years after the founding of our organization the core values - Compassion Inclusion Integrity Excellence and Collaboration - that guide our interactions with our patients and each other remain the same. In the welcoming embrace of these nurturing communities you will feel immediately at home. 

Roseburg is located on Interstate 5 in Southern Oregons scenic Douglas County. The community is nestled in a lush forested region known as the 100 Valleys of the Umpqua. In many places you’ll find it hard to maintain a healthy work-life/personal-life balance because the pace of one is indistinguishable from the other. Not here. Life never stops here but it slows to an easy welcome pace. A traffic jam means you missed the yellow and have to wait for the next green. A terrible parking space is the one across from the restaurant instead of in front of it. And the three words you may never hear are “Wow that’s expensive.” Easy is the best way to describe life here. Hard-to-beat works too.

 

While you’re busy impacting the healthcare industry, we’ll take care of you with benefits that may include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, annual bonus eligibility, and more

 

Responsibilities:
Shift: Casual Part-Time, Days

 

Job Summary:

 

Responsible for the review of medical records for appropriate admission status and continued hospitalization.

 

Essential Duties:

Conducts admission and continued stay reviews.

Reviews records for accurate patient status orders and addresses deficiencies with providers.

Collaborates with Care Coordinatos to ensure progression of care.

Engages with Denials/Revenue Cycle vendor to discuss denials prevention.

Qualifications:
License/Certification:

Licensed as a Registered Nurse in the State of Oregon.

Certified Case Manager (CCM), Accredited Case Manager (ACM-RN) or UM Certification preferred.

American Heart Association BLS for Healthcare Providers within 30 days of hire.

Experience:

Two (2) years acute care experience. A Master's degree in Case Management accepted in lieu of 1 year of experience.

Five (5) years of nursing experience preferred.

Education:

ASN

BSN preferred

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