Qualifications
Job Summary :
Coordinates the efforts of patient, family and healthcare professionals to develop a plan of care across the continuum based on identified needs.
Reviews and assesses the appropriateness of patient admissions and continued stays in accordance with established policies and procedures.
Required Qualifications :
Education : Graduate of an accredited program in Nursing with a minimum of an Associate’s degree.
Licensure : Current MS RN licensure, compact license or temporary permit for same (valid for 90 days only).
Experience : Three (3) years of clinical experience as a registered nurse in an acute care facility.
Skills, Knowledge, Abilities : Expert clinical knowledge regarding disease management. Knowledge of performance improvement tools and techniques.
Proficiency with computer applications including database management and statistical applications. Excellent customer service and communication skills;
strong organizational and problem-solving skills.
Preferred Qualifications :
Education : Bachelor’s degree in Nursing.
Licensure : CCM, CPUR, CPUM or related certification.
Experience : Experience in advanced quality management, utilization management, case management and / or DRG documentation compliance principles.
Skills, Knowledge, Abilities : Advanced proficiency in resource / quality management methods, DRG coding, and third party payer requirements.
Advanced statistical and spreadsheet / database application skills.
12 / 24 / 2017)
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