Utilization Review Nurse / Utilization Review / Full Time
full-time•Conover
Summary
Location
Conover
Type
full-time
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About this role
Summary of Performance Expectations
Manages the utilization review process for assigned patients. Assesses the appropriateness of admission and treatment plans based upon clinical norms and judgment. Participates in a unified program of concurrent and retrospective monitoring of factors contributing to efficient utilization of hospital resources to provide quality patient care in the most cost effective manner possible. Balances fiscal benefits for the patient with fiscal restraints for the organization that may be imposed by regulatory agencies. Advocates for patients and intercedes as necessary to accomplish these goals. Provides education to the patient, patient’s family/significant others, physicians, administration, and hospital staff related to the utilization review.
Education and Credentials:
Required:
- Graduate of accredited nursing program.
- Current NC RN license or licensure from Nursing Compact State.
- BCLS certification. If the BCLS certification is not from the American Heart Association (AHA), an AHA certification is required within three months of employment date.
- Effective May 4, 2015 newly employed Registered Nurses and current employees promoted to Registered Nurse positions are required to possess a BSN or higher nursing degree.
- The BSN or higher nursing degree must be completed within five years from the date of employment or placement into the RN position.
- Incumbents in CVMC RN positions on the effective date will not be required to satisfy the BSN degree requirement to maintain their current position, be promoted to a charge nurse or Operating Room specialty RN position, or apply for lateral RN positions in another CVMC department. Exception: RNs transferring to the IRT department are subject to the BSN requirement.
- RNs employed in positions at Catawba Valley Medical Group (CVMG), Fairgrove Primary Health and Catawba Valley Infectious Disease are exempt from this requirement.
Preferred:
Work Experience:
Required:
Three years of previous nursing experience. Given training and on-the-job experience, incumbent should be proficient in the basic aspects of the job within three months of employment date.
Preferred:
Two years discharge planning, utilization review, or case management experience.
About Catawba Valley Medical Center
COMPREHENSIVE, ACCESSIBLE HEALTHCARE SERVICES IN THE CATAWBA VALLEY
Our mission: Exceptional Healthcare. Every Person. Every Time.
At A Glance:
- North Carolina’s first and only 5-time Magnet recipient for nursing excellence
- Region’s only level III Neonatal Intensive Care Unit (NICU)
- Women’s Choice Award winner for America’s Best 100 Hospitals for Patient Experience for six consecutive years
- American College of Surgeons Accredited Comprehensive Community Cancer Center
HIGH LEVEL OF TECHNICAL CARE FROM MEDICAL EXPERTS
Catawba Valley Medical Center offers a wide range of services from experienced medical specialists capable of addressing virtually any healthcare concern. Our current hospital holds 258 beds and serves the five-county Hickory area. Through our skilled medical practitioners and our highly trained staff, we strive to provide the highest level of medical expertise using the latest, state-of-the-art technology available.
One of our goals at Catawba Valley Medica Center is to provide seamless care between your primary care provider and our hospital. Being a part of a vast healthcare network allows for easier and more efficient communication between local physicians, medical specialists and our hospital. No one should have to travel far for the expert level medical treatment they need. We work with a plethora of medical specialists capable of diagnosing, treating and operating on a wide variety of conditions.
Other facts
Tech stack
Utilization Review,Patient Advocacy,Clinical Assessment,Education,Nursing,Discharge Planning,Case Management,BCLS Certification,Communication,Team Collaboration,Resource Management,Cost Effectiveness,Regulatory Compliance,Patient Care,Healthcare Services,Nursing Standards
About Catawba
Catawba Valley Health System is the region's largest not-for-profit community hospital, it is our mission to improve the health status of the Catawba Valley. Our organization's hallmark is an extraordinary blend of compassionate care and innovative clinical expertise.
We do this by providing high-quality health-care services, as well as by supporting organizations dedicated to improving our standard of living.We exist to heal and comfort patients, to promote and foster a healthier Catawba Valley, and to assure access to health care to all who need it — not to create profits and return dividends to shareholders.
By continuing to work together, we can improve the overall health status of the Catawba Valley and make our community an even better place to call home.
Team size: 1,001-5,000 employees
Website: http://www.catawbavalleyhealth.org
LinkedIn: Visit
Industry: Hospitals and Health Care
Founding Year: 1968
What you'll do
- The Utilization Review Nurse manages the utilization review process for assigned patients, assessing the appropriateness of admissions and treatment plans. They advocate for patients and provide education to various stakeholders regarding utilization review.
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Frequently Asked Questions
What does a Utilization Review Nurse / Utilization Review / Full Time do at Catawba?
As a Utilization Review Nurse / Utilization Review / Full Time at Catawba, you will: the Utilization Review Nurse manages the utilization review process for assigned patients, assessing the appropriateness of admissions and treatment plans. They advocate for patients and provide education to various stakeholders regarding utilization review..
Why join Catawba as a Utilization Review Nurse / Utilization Review / Full Time?
Catawba is a leading Hospitals and Health Care company.
Is the Utilization Review Nurse / Utilization Review / Full Time position at Catawba remote?
The Utilization Review Nurse / Utilization Review / Full Time position at Catawba is based in Conover, North Carolina, United States. Contact the company through Clera for specific work arrangement details.
How do I apply for the Utilization Review Nurse / Utilization Review / Full Time position at Catawba?
You can apply for the Utilization Review Nurse / Utilization Review / Full Time position at Catawba directly through Clera. Click the "Apply Now" button above to start your application. Clera's AI-powered platform will help match your profile with this opportunity and guide you through the application process. You can also learn more about Catawba on their website.