Job Title : Registered Nurse (RN) Job Specialty : Case Management (Utilization Review) Job Duration : 13 weeks Shift : 8H Days Guaranteed Hours : 37.
5 hours per week Experience : Minimum 1 year of inpatient case management experience License : Required Certifications : BLS, PRI (Patient Review Instrument) Certification, SCREEN Training Certification Must-Have : - Prior critical care experience preferred- Some knowledge of CarePort, MCG, and / or InterQual preferred- Utilization Review experience preferred- Ability to handle at least 20 patients Job Description : Expected to have knowledge of discharge planning and making referrals.
- Will work on a Medical-Surgical or Telemetry unit, splitting the floor with a Social Worker.- Must function independently and work collaboratively with an interdisciplinary team and patients for discharge planning.
- Expected to round on the unit with physicians / team.- Positive attitude, critical thinking, and good time management skills are essential.
- Utilization Review is a separate department; they handle insurance approvals and arrange transportation.- Caseload typically consists of 17-25 patients;
on pilot floors, 12-17 patients.- Involves discharge to home, community, or skilled nursing facilities (SNF).- Tasks include obtaining housing, preparing shelter packets for homelessness, handling hemodialysis packets, and making KCI referrals for wound vacs.
A binder is provided as a resource.- Primarily covers inpatient areas.- Scheduling follows a Monday to Friday, 8 AM to 4 : 30 PM shift (7.
5-hour shifts with a 1-hour lunch).- Occasionally may require weekend or holiday work with manager approval; caseloads differ on weekends.
- Dress code is business casual or scrubs (any color except Royal Blue or Maroon; neutral colors preferred); lab coat provided.
- Department-specific orientation includes 2 days of hospital orientation for EMR training and 1-2 weeks with a preceptor.
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