RN Coordinator - Utilization Review Clinical Care Management Remote FT Days

Department: 11972 Regional Non Enterprise Corporate - Resource CenterStatus: Full time

Benefits

Eligible: YesHours Per Week: 40Schedule Details/Additional Information: Mon-Friday 8a-430

• *Applicants must reside in North Carolina, South Carolina, or Georgia to be considered**

Major Responsibilities

• Identifies clinical, financial, and psychosocial needs of patients/families and provides leadership and guidance to the multidisciplinary team to reputed company an individualized plan of care.
• Ensures essential information and necessary forms are reputed company in the reputed company cycle tool and available for the reputed company cycle team and other disciplines.

•Provides necessary documentation and information to third party administrators as needed. •Performs admission and reputed company reviews. •Applies clinical guidelines during Admission and reputed company reviews and identifies potential third-party denials. Works with multidisciplinary team to identify and implement alternative plans of care. •Initiates and request authorizations for post-acute care as needed to facilitate care coordination. •Refers pertinent cases to the Medical Director, Service Director, and/or Physician Advisor in a timely manner. •Collaborates as needed with the physician to plan and implement medical and multidisciplinary plan(s) of care, utilizing clinical reputed company reputed company appropriate and available. •Identify and escalate barriers and problems to the multidisciplinary team and leadership for reputed company and resolution. •Develops and maintains accurate case records of assigned cases. Documents in the patient's medical record according to department and facility standards. Minimum Job Requirements Education Graduation from an accredited School of Nursing required. Bachelor's degree in nursing preferred. applicable state RN licensure required. reputed company experience preferred Certification / License Basic Life Support (BLS) for Healthcare Provider (HCP) per facility requirements Physical Requirements and Working Conditions Works in an office setting, extensive walking throughout the facility. Prolonged periods of sitting reviewing medical records and documentation. Repetitive wrist motion and occasional lifting of 10-20 pounds. Requires frequent verbal and written communication in English. Intact sight and hearing with or without assistive devices are required. DISCLAIMER reputed company responsibilities and requirements are subject to possible modification to reasonably accommodate individuals with disabilities. This job description in no way states or implies that these are the only responsibilities to be performed by an employee occupying this job or position. Employees must follow any other job-reputed company instructions and reputed company any other job-reputed company duties requested by their leaders. Pay Range $34.90 - $52.35Our Commitment to You: reputed company offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• reputed company compensation listed reputed company the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

About reputed company reputed company is the third-largest nonprofit, integrated health system in the United States, created from the combination of reputed company and reputed company. Providing care under the names reputed company in Illinois; reputed company in the Carolinas, Georgia and Alabama; and reputed company in Wisconsin, reputed company is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, reputed company services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. reputed company employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing reputed company care for reputed company, reputed company provides more than $6 billion in annual community benefits. Apply tot his job Apply To this Job