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Registered Nurse (RN) - Utilization Review
Location:
Saint Louis, MO
Description:
We are South City Hospital. Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision.We service a multitude of patients and their families across our vast network, while remaining committed to the professional development of our staff, the functional improvement of our patients, and the cultivation of strong partnerships within our communities. WHAT WE OFFER Essential/stable and growing company with many opportunities for training and advancement within the medical field that all employees and team members (including Full-Time and Part-Time) can benefit from. Hourly pay is negotiable based on experience. We offer competitive market pay and opportunities for bonus depending on great work performance (bonuses only apply for Full Time). Comprehensive Employee Benefits: Full-Time employees are eligible for various plans for medical, dental, and vision insurance. STATEMENT OF PURPOSE: The Utilization review nurse works with a high degree of independence to ensure that utilization management requirements established by payers are carried out in timely manner. The utilization review nurse works collaboratively with payer, staff, and case manager to track ongoing care needs and utilization requirements and/or guidelines. JOB DUTIES AND RESPONSIBILITIES: "*" Denotes the essential job functions according to ADA guidelines. JOB REQUISITES: A) EDUCATION AND TRAINING:Education Required: Clinically licensed or registered as healthcare professional in the state ofMissouri. B) EXPERIENCE:Experience Required: 3 years acute care clinical experience occurring within the last 5 years,General knowledge of acute standards of care. C) SKILLS AND ABILITIES: - Read and understand English- Excellent communication skills to interact with patients, visitors and staff.- Ability to manage time and organize daily schedule to meet productivity standards.- Good computer skills.- Ability to work effectively in situations of high stress and conflict and communicate the goals and outcomes of case management. - Individual must possess exceptional verbal and written communication skills. - Possesses knowledge of Interqual-Discharge screens, Microsoft Office, and community resources. - Ability to maintain absolute confidentiality of material and information accessed and reviewed - Possesses independent work habits, is self reliant and self directed. - Ability to maintain absolute confidentiality of material and information accessed and reviewed Must have knowledge of growth and development and show clinical expertise for the ages of patients served, including child, adolescent, adult and geriatric. Possesses the ability to understand and react effectively to patients' needs. An individual without requisites stated above may present a written justification explaining the relevance of his/her background for a specific vacant position. Depending on organizational needs and availability of more qualified applicants, an applicant may have some or all requisites revised or waived at the health system's discretion. PHYSICAL REQUIREMENTS/WORKING CONDITIONS: Ability to move freely, reach, bend and light lifting. Ability to use good body mechanics while performing daily job functions and ability to follow specific OSHA guidelines.
Company:
South City Hospital
Posted:
December 26 2023 on ApplicantPro
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More About this Listing: Registered Nurse (RN) - Utilization Review
Registered Nurse (RN) - Utilization Review is a Nurse & Healthcare Registered Nurse Job at South City Hospital located in Saint Louis MO. Find other listings like Registered Nurse (RN) - Utilization Review by searching Oodle for Nurse & Healthcare Registered Nurse Jobs.
Registered Nurse (RN) - Utilization Review is a Nurse & Healthcare Registered Nurse Job at South City Hospital located in Saint Louis MO. Find other listings like Registered Nurse (RN) - Utilization Review by searching Oodle for Nurse & Healthcare Registered Nurse Jobs.