Utilization Review Nurse - LPN (Remote) id-10334

Employee is expected to cheerfully and enthusiastically carry out tasks and responsibilities of the job, including but not limited to, high quality professional patient care, thorough and accurate documentation, a willingness to work closely with physicians, administrators, coworkers, and supervisors. Prompt assistance to other units/ departments is expected as well as prompt assistance within the employee's own unit/ department. By following the guidelines outlined in this job description, high quality patient care will be assured, and the continued success of Curative.

ESSENTIAL DUTIES AND RESPONSIBILITIES


QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
The requirements listed below are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential
functions:

  • Current knowledge of services provided across the continuum of care that involve multiple systems
    addressing the ongoing needs of the patient
  • Knowledge of discharge planning
  • Familiarity with community agencies and with how to make appropriate referrals to them
  • Knowledge of different hospital reimbursement methodologies and concurrent review criteria
  • Excellent verbal and written communication skills
  • Computer skills
  • Ability to identify ways to decrease hospital days in a medically safe and responsible manner

EDUCATION and/or EXPERIENCE

  • Associate or Bachelor Degree in Professional Nursing
  • At least four years of clinical experience in hospital nursing such as Critical Care/ER/Med Surg/Home
    Health. One to two years of utilization/case management (managed care preferred). One to two years of
    concurrent review or retrospective review with an emphasis on discharge planning.

CERTIFICATES, LICENSES, REGISTRATIONS

  • Unencumbered active RN license in state of primary residence

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters
while performing the essential functions of this job. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential functions.

  • While performing the duties of this Job, the employee is regularly required to sit; use hands to
    handle or feel; talk; and hear.
  • The employee is frequently required to reach with hands and arms.
  • Specific vision abilities required by this job include close vision, distance vision, color vision,
    peripheral vision, depth perception and ability to adjust focus
  • The noise level in the work environment is usually: Mild
  • The employee may regularly be required to lift and/or move up to: _5_ LBS
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