PRN ED Utilization Management Nurse (Remote)

Job description

PRN ED Utilization Management Nurse (Remote) - ( 260002LO ) Description Standard need will be to cover shifts associated with PTO, typical shift is 10P-10A What You Will Do: Expectations: Ability to cover shifts to assist with coverage of PT and FT nurses taking PTO. Assignments: managing recommendation of patients being admitted to the hospital setting using criteria set (MCG and IQ) we are willing to teach. - Collaborates and coordinates with all members of the health care team, patient and family (or significant others) to coordinate and ensure timely and efficient delivery of required workflow, services and tasks to result in: - Support of positive patient health care outcomes - Increased patient/health care team outcomes and satisfaction - Improved inpatient throughput and appropriate length of stay - Improved communication, awareness and adherence to regulatory requirements associated with utilization - Support for inappropriate level of care and decreased inpatient bed day denials - Continuity and coordination of care - Appropriate and timely authorization for level of care - Decreased denials - Appropriate reimbursement - Performs and documents timely and accurate concurren...