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Form of workJob Description
IV. Summary: The Registered Nurse will perform clinical and operational processes related to transition / coordination of care and utilization / case management of Post-Acute Care services including but not limited to long term acute care, skilled nursing and inpatient rehab facilities, home health care, care management, and Utilization Review. The Registered Nurse is responsible for the implementation, evaluation and coordination of the plan of care for all assigned patients. Develops care plan and other case management tools by participating in meetings. Identifies progress toward desired care outcomes; intervening to overcome deviations in the expected plan of care; reviewing the care plan with patients in conjunction with the direct care providers. Monitors delivery and utilization of care by completing patient rounds with Medical Directors.
V. Minimum Education, Licensure and Professional Certification requirement: Current unrestricted Registered Nurse
VI. Minimum Experience required (number of years necessary to perform role): Minimum 5 years clinical experience with at least 3 years managed care experience ? 2 – 4 years' experience in utilization management required. ? Home health, SNF, and/or rehab experience desired ? Medicare/Medicaid managed care programs preferred
VII. Status Full time ? Position is located in onsite facility (market specific), remote ? Position is full-time during core business hours with the ability to work any shift between 7am and 7pm CST, plus mandatory on call responsibility after business hours equivalent to approximately two weekends per year. May require weekend rotation. ? Ability to sit at a desk 50% of the time and utilize the computer, telephone, and other office equipment, throughout the entire work day; walking and standing ? Dependable and reliable work schedule is essential ?
VII. Required Skills: ? Time-management: Ability to effectively manage one's time and resources to ensure that work is completed efficiently Excellent organizational skills ? Communication: Ability to provide clear verbal and written information via in-person, email, and phone to customers, co-workers, and leadership ? Critical-Thinking/Decision-making: Ability to choose a course of action or developing appropriate solutions by identifying and understanding issues, problems, and opportunities ? Autonomy: Ability to work independently with little to no supervision ? Proficient in computer literacy skills with ability to use and troubleshoot Microsoft Word, Excel, Outlook, and PowerPoint with ability to type 30 wpm preferred ? Experience using videoconferencing systems such as WebEx
2 – 4 years' experience in utilization management required.
V. Minimum Education, Licensure and Professional Certification requirement: Current unrestricted Registered Nurse
VI. Minimum Experience required (number of years necessary to perform role): Minimum 5 years clinical experience with at least 3 years managed care experience ? 2 – 4 years' experience in utilization management required. ? Home health, SNF, and/or rehab experience desired ? Medicare/Medicaid managed care programs preferred
VII. Status Full time ? Position is located in onsite facility (market specific), remote ? Position is full-time during core business hours with the ability to work any shift between 7am and 7pm CST, plus mandatory on call responsibility after business hours equivalent to approximately two weekends per year. May require weekend rotation. ? Ability to sit at a desk 50% of the time and utilize the computer, telephone, and other office equipment, throughout the entire work day; walking and standing ? Dependable and reliable work schedule is essential ?
VII. Required Skills: ? Time-management: Ability to effectively manage one's time and resources to ensure that work is completed efficiently Excellent organizational skills ? Communication: Ability to provide clear verbal and written information via in-person, email, and phone to customers, co-workers, and leadership ? Critical-Thinking/Decision-making: Ability to choose a course of action or developing appropriate solutions by identifying and understanding issues, problems, and opportunities ? Autonomy: Ability to work independently with little to no supervision ? Proficient in computer literacy skills with ability to use and troubleshoot Microsoft Word, Excel, Outlook, and PowerPoint with ability to type 30 wpm preferred ? Experience using videoconferencing systems such as WebEx
Knowledge in Microsoft Excel (office)
Flexibility
Reliable Internet Access/ HIPPA complaint RoomMust have a RN degree
Minimum 5 years clinical experience with at least 3 years managed care experience2 – 4 years' experience in utilization management required.
