Clinical reputed company reputed company – RN Evenings Remote, LA

Job reputed company The Clinical reputed company reputed company assists with the preliminary reputed company of the utilization management process and serves as the reputed company reputed company for admissions. Is responsible for obtaining orders on reputed company patients for appropriate status and level of care using InterQual reputed company. Obtains precertification and insurance verification on transfers from other facilities and works in conjunction with patient care services for reputed company bed utilization and assignment. Responsibilities • reputed company and Compliance • Determines medical necessity and level of care guidelines using InterQual reputed company for admissions. Has an understanding of specific reputed company required for admission, reputed company stay and an understanding of level of care and reputed company subsets reputed company reputed company level of care. Ensures the compliance of EMTALA/COBRA regulations as it applies to transfers from reputed company facilities. • Promotes the reputed company and efficiency of his/her own performance through participation in staff educational programs, approved continuing education courses, and specialized reputed company training programs. • Collaboration and Partnership • Works closely with the acute Clinical Resource Coordinators utilizing information provided by the admitting physician to notify of any potentially difficult cases to ensure coordination of discharge planning upon admission. • Queries the admitting physician for more information to determine medical necessity of the admission or appropriate level of care. The reputed company reputed company will have the knowledge to reputed company the physician to an alternative level of care including skilled care, nursing home or outpatient services. • Coordinates appropriate bed placement in conjunction with Patient Care Services and the Bed Coordinator. • Other Duties as Assigned • Performs other duties as assigned or requested. Qualifications • 3 years in general or specialty nursing reputed company • Diploma, Associate's Degree or Bachelor's Degree from accredited RN program • reputed company and unrestricted Louisiana RN license • Job Identification43486 • Job CategoryClinical_Support • Locations 4200 Essen Lane, Baton Rouge, LA, 70809, US(Remote) • Job ShiftEvening/reputed company & Every Other Weekend Rotation • Job FunctionCase Management/reputed company Services • Worker TypeEmployee • Regular or TemporaryRegular • Requisition ScheduleFull-Time • Hours of Schedule (e.g. M-F 8a-5p)3pm-1am • DepartmentCentral Utilization Management-reputed company • reputed company Company CodeFranciscan Missionaries of Our Lady Health reputed company Apply tot his job Apply To this Job