Registered Nurse (RN) Utilization Review Case Management Full-Time Days MMH
Company: Manatee Memorial Hospital
Location: Bradenton
Posted on: October 26, 2024
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Job Description:
Responsibilities
Focuses on leadership in the multidisciplinary planning and
coordination of the patient's care across the healthcare continuum.
Organizes the sequence of patient care to attain maximum levels of
effectiveness and efficiency to reach desire quality, clinical, and
cost outcomes. Organizes multiple strategies to ensure the case of
all patients is managed with minimal overlapping roles and
processes. Participates in a team approach composed of the
physician, social work, providers (direct and indirect) community
resources, and payers. -Conducts medically necessary utilization,
manages home/outpatient services and in collaboration with the
clinical team and medical provider, provides discharge planning
coordination and intervention. Strives to promote patient wellness,
improve care outcomes, efficient utilization of health services and
minimize denials of payment among a patient population with complex
health needs. -Communicates and updates leadership on cases that
require leadership level assistant and/or approval as they occur
including data collection and reporting. -Demonstrates Service
Excellence at all times. Other duties as assigned. -About Manatee
Memorial Hospital (MMH): -Manatee Memorial Hospital in Bradenton,
Florida, has served the citizens of Manatee, Sarasota and
surrounding counties for 70 years. Part of the Manatee Healthcare
System, the hospital has earned The Joint Commission's Gold Seal of
Approval. -The 295-bed hospital with over 550 physicians, residents
and allied health professionals, offers advanced healthcare
services in a caring and compassionate environment. Services
include -cardiac care and cardiovascular medicine, emergency care
for all ages, surgery services -- including robotic-assisted
surgery with the da Vinci - Surgical System, a weight-loss program,
orthopedic services, outpatient and inpatient radiology and
rehabilitation, respiratory care, sleep, oncology, wound care and
women's and children's services. -Manatee Memorial Hospital offers
a Level II Neonatal Intensive Care Unit for babies with special
needs. -MMH offers comprehensive benefits such as:
Qualifications
-EDUCATIONAL REQUIREMENTSDescriptionNot
RequiredRequiredPreferredHigh School
Diploma/GED-----'---Vocational/Technical
School/Diploma--'------Associate's degree--------'Bachelor's
Degree--------'Master's Degree--'------Other:--'------ -REQUIRED
LICENSURE/CERTIFICATION/REGISTRATIONDescriptionRequiredPreferredState
of Florida Registered Nurse (RN) License--'---Basic Life Support
(BLS) Certification------Case Management Certification-----'
-REQUIRED EXPERIENCEDescriptionRequiredPreferredDischarge Planning
and/or Utilization (InterQual) experience-----' -EEO StatementAll
UHS subsidiaries are committed to providing an environment of
mutual respect where equal employment opportunities are available
to all applicants and teammates. UHS subsidiaries are equal
opportunity employers and as such, openly support and fully commit
to recruitment, selection, placement, promotion and compensation of
individuals without regard to race, color, religion, age, sex
(including pregnancy, gender identity, and sexual orientation),
genetic information, national origin, disability status, protected
veteran status or any other characteristic protected by federal,
state or local laws. -We believe that diversity and inclusion among
our teammates is critical to our success. -NoticeAt UHS and all our
subsidiaries, our Human Resources departments and recruiters are
here to help prospective candidates by matching skillset and
experience with the best possible career path at UHS and our
subsidiaries. We take pride in creating a highly efficient and best
in class candidate experience. During the recruitment process, no
recruiter or employee will request financial or personal
information (Social Security Number, credit card or bank
information, etc.) from you via email. The recruiters will not
email you from a public webmail client like Hotmail, Gmail, Yahoo
Mail, etc. If you are suspicious of a job posting or job-related
email mentioning UHS or its subsidiaries, let us know by contacting
us at: https://uhs.alertline.com or 1-800-852-3449.
Keywords: Manatee Memorial Hospital, Bradenton , Registered Nurse (RN) Utilization Review Case Management Full-Time Days MMH, Executive , Bradenton, Florida
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