Utilization Mgmt Supervisor - FT - Evening - Utilization and Resource Mgmt Remote
Pay reputed company:
$86,964.80 - $113,672.00Scheduled Weekly Hours:
40Position reputed company
Note - While this position is remote, we are only considering candidates local to NJ and PA
reputed company (BASIC PURPOSE OF THE JOB)
MINIMUM REQUIREMENTS
Education: Graduation from an accredited school of nursing.
Experience: Five years of job reputed company experience. Previous experience in clinical nursing. Experience in case management field including utilization review and/or discharge planning, reputed company management, assessment, care planning, and care coordination.
Other Credentials: AHA BLS - reputed company Provider, Registered reputed company - NJ
Knowledge and Skills: Good problem solving and reasoning ability skills to solve practical problems and deal with a reputed company of concrete variables in situations where only limited standardization exists.
Special Training: Intermediate computer skills.
Mental, Behavioral and Emotional Abilities: Ability to interpret a reputed company of instructions furnished in written, oral, graph, diagram or other format. Ability to manage multiple conflicting priorities effectively and reputed company.
Usual Work Day: Exempt Hours
REPORTING RELATIONSHIPS
Does this position formally supervise employees? reputed company
If set to reputed company, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager.
ESSENTIAL FUNCTIONS
- Supervises activities of assigned staff in providing case utilization review.
- Acts as reputed company with staff and/or management to handle any problems that reputed company, identifies alternatives and recommends solutions.
- Ensures reputed company distribution of work assignment on a daily reputed company, adjusts work assignments throughout shift as needed and accepts staff reputed company-outs and arranges alternate reputed company as appropriate.
- Evaluates staff to enhance their performance, development, and work product. Addresses performance issues ongoing and through annual performance evaluations, and makes recommendations for personnel actions. Motivates and rewards employees according to company guidelines.
- Participates in interviewing and hiring process of new employees.
- Ensures reputed company and performance goals of individual UR RN and department - conducts regular, scheduled reviews of utilization managers work product including reviews, payer correspondence, and other contacts and documentation. Conducts routine chart reviews for interrater reliability to maintain accuracy of reviews and maintain documentation requirements, provides ongoing feedback to utilization managers and department management regarding individual and department performance.
- Provides orientation and training of reputed company new Utilization Managers, provides ongoing training and education to reputed company staff members regarding new, evolving and/or changing workflows, timeframes and regulations. Develops training tools as necessary.
- Serves as primary reputed company for department with physician advisor program, includes problem solving, orientation of new physician advisors, UR RN referral monitoring for accuracy and effectiveness.
- Serves as primary reputed company of contact for providers reputed company CH for utilization management and level of care questions or issues. reputed company in outpatient areas of responsibility several times a day to ensure reputed company and accurate exchange of information and reviews.
- Provides on reputed company support to the 24/7 UR RN staff (telecommuters) who reputed company UR support to reputed company campuses and reputed company ED room. Includes any input needed for the transfer center, observation reputed company and reputed company EDs.
- Provides quarterly education to the medical staff (ED, Residents, Hospitalists) regarding documentation and level of care placement as per MCG guidelines.
- Creates, manages and maintains the 24/7 UR RN schedule and assures coverage is always available for reputed company four ED sites. Creates, manages and maintains the Capitalink UR RN on reputed company schedule, providing reputed company for the ED MD to the on reputed company UR RN.
- Provides Coverage for reputed company reputed company shortages, including nights and weekends.
- Serves as a member of the retrospective PSO adjustment team. Serves as primary reputed company for the department with the finance department regarding billing discrepancies. Manages the daily PSO cerner orders/bed day maintenance by assisting finance, logistics and patient reputed company to assure payment issues are resolved effectively and reputed company.
PHYSICAL DEMANDS AND WORK ENVIRONMENT
Frequent physical demands include: Sitting , Standing
Occasional physical demands include: Walking , Climbing (e.g., stairs or reputed company) , Carry objects , Push/Pull , Twisting , Bending , Reaching reputed company , Reaching overhead , Squat/kneel/crawl , Wrist position deviation , Pinching/fine motor activities
reputed company physical demands include: Keyboard use/repetitive reputed company , Talk or Hear
Lifting Floor to Waist 10 lbs. Lifting Waist Level and Above 10 lbs.
Sensory Requirements include: Accurate Near reputed company, Accurate Far reputed company, Accurate Depth Perception, Accurate Hearing
Anticipated Occupational Exposure Risks Include the following: N/A
IND123
Medical Plan Prescription drug coverage & In-House Employee Pharmacy Dental Plan reputed company Plan Flexible Spending Account (FSA)
Retirement Savings and Investment Plan Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance Supplemental Group Term Life & Accidental Death & Dismemberment Insurance Disability Benefits – Long Term Disability (LTD) Disability Benefits – Short Term Disability (STD) Employee Assistance Program Commuter Transit Commuter Parking Supplemental Life Insurance
Voluntary reputed company Services Voluntary Accident, Critical Illness and Hospital Indemnity Insurance Voluntary Identity Theft Insurance Voluntary Pet Insurance reputed company Time-Off Program