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Providence Health & Services Utilization Review (UR) Nurse (RN) - Utilization Review in Centralia, Washington

Description:

Providence is calling a RN Case Manager - Utilization Review (0.8 FTE, Variable Shift) to work in Utilization Review at Providence Centralia Hospital in Centralia, WA.

The Utilization Review RN provides assessment and analytical support to concurrent and retrospective quality and utilization activities, in accordance with the Providence Hospital Quality and Utilization Plans, Medicare regulations, The Joint Commission regulations, guidelines and direction received from Administration and the Medical Staff.

In this position you will:

  • Ensures the patient is in the correct care setting to best meet the patient care needs and at the correct patient status (is the patient in the correct unit at the correct status – observation vs. inpatient, is the patient in the most appropriate unit).

  • Utilizes software to assist in evaluation of documentation, provide written physician communication, and track improvement results.

  • Appropriately identifies actual and potential care issues and addresses them as needed with appropriate care provider. Collects, analyzes, and uses care management date to continuously improve the quality of care.

  • Develops and manages a coordinated plan of care to meet patient and/or family needs. Works with Social Services and other interdisciplinary team members as needed for additional support and resources.

  • Monitors the patient/family progress towards achieving optimal functional status.

Qualifications:

Required qualifications for this position include:

  • Associate's Degree in Nursing.

  • Current Registered Nurse (RN) licensure in Washington State.

  • Three years in medical/surgical (or comparable acute care) nursing experience.

Preferred qualifications for this position include:

  • Bachelor of Science Degree in Nursing (BSN).

  • One year recent acute care experience.

  • Quality and or utilization review and or case management experience.

  • Microsoft Office (Word and Excel) experience.

About the hospital you will serve:

Providence Centralia Hospital in Centralia, Washington is a 127-bed, not-for-profit hospital providing emergency, diagnostic, cancer, birthing and surgical services. It consistently receives high scores on accreditation surveys by the Joint Commission, the Washington Department of Health (DOH) and the Washington Department of Social and Health Services (DSHS).

We offer a full comprehensive range of benefits - see our website for details

http://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Variable

Job Category: Case Management

Location: Washington-Centralia

Req ID: 243804

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