Utilization Review Nurse -(RN) Per Diem
Company: Kern County Hospital Authority
Location: Shafter
Posted on: May 20, 2023
|
|
Job Description:
Description
Kern Medical -has been a community cornerstone since its founding
in 1867. Today, we are an acute care teaching center with 222 beds,
offering the only advanced trauma care between Fresno and Los
Angeles. -Kern Medical offers a range of primary, specialty, and
multi-specialty services, including high-risk pregnancy care,
inpatient psychiatric services integrated with county mental health
programs, and a growing network of outpatient clinics providing
personalized patient-centered wellness care. -Kern Medical cares
for 15,500 inpatients and 125,000 clinic patients a year.
-
Position: Utilization Review Nurse - - Case Management - Shift
Compensation:
The estimated pay for this position is -$40.0150 to $63.0516. The
rates shown include a 6% premium pay (base= $-$ plus 6%). This
reflects only a portion of the total compensation package for this
position. Additional compensation may be available for this role
through differentials, incentives, and bonuses. In addition, this
position may be eligible for participation and company
contributions to the Kern County Employees' Retirement Plan.
Definition:
Under supervision, to provide and implement a hospital utilization
review and discharge planning program and to do related work as
required.
Distinguishing Characteristics:
-Positions in this classification are assigned to the Utilization
Review division of Kern Medical Center. Incumbents perform
clinically oriented medical chart reviews and other administrative
tasks to meet the requirements of the medical center's utilization
review plan, state and federal regulations, insurance company
requirements for reimbursement, and facility accreditation
standards. The Utilization Review Nurse classification ranges from
less experienced nurses who will perform administrative tasks
concerning Utilization Review and Discharge planning activities, to
experienced nurses who will apply full working knowledge of
applicable regulations and develop knowledge of outside agencies
and services to develop appropriate discharge plans.
-
Essential Functions:
-
Other Functions:
-Performs other job-related duties as required.
Employment Standards:
Possession of a valid license as a Registered Nurse in the State of
California
AND
Two (2) years of experience or its equivalent as a registered nurse
in an acute care hospital, at least one of which was on a
medical/surgical ward or unit.
OR
Possession of a valid license as a Registered Nurse in the State of
California, two (2) years of experience or its equivalent as a
registered nurse in an acute care hospital, including at least one
(1) year on a medical/surgical ward or unit -
AND
one (1) year of utilization review/discharge planning experience in
an acute care hospital or as a Case Manager in an alternate medical
setting such as a clinic or physician's office performing
utilization review or discharge planning. -
OR
Possession of a valid license as a Registered Nurse in the State of
California and two (2) years of experience as a Case Manager in an
alternate medical setting such as a clinic or physician's office
performing utilization or discharge planning.
Incumbents may be required to possess and maintain specific
certificates of competency based on unit-specific requirements as a
condition of employment.
Appointees not possessing the American Heart Association Provider
Basic Life Support (BLS) card at the time of hire must successfully
complete appropriate training and qualify for the RQI Provider
certification within 60 days of employment. As a continued
condition of employment, employees must maintain RQI Provider
certification and competency.
-Knowledge of:
Payor source documentation requirements and governmental
regulations affecting reimbursement; knowledge of acute care
nursing principles, methods, and commonly used procedures;
knowledge of common patient disease processes and the usual methods
for treating them; knowledge of medical terminology, hospital
routine, and commonly used equipment; knowledge of acute hospital
organization and the interrelationships of various clinical and
diagnostic services;
Ability to:
Effectively evaluate the medical records of hospital admissions
regarding continuing stay necessity, appropriateness of setting,
delivered care, use of ancillary services and discharge plans;
ability to assess and judge the clinical performance of physicians
and other health professionals; ability to communicate
documentation needs in an effective and tactful manner that
promotes cooperation; ability to gather and analyze data and
prepare reports and recommendations based thereon; ability to get
along with physicians, other health providers, outside payor
sources and the general public.
Supplemental:
A background check may be conducted for this classification.
All Kern County employees are designated "Disaster Service Workers"
through state and local laws (CA Government Code Sec.3100-3109 and
Ordinance Code Title 2-Administration, Ch. 2.66 Emergency
Services). As Disaster Service Workers, all County employees are
expected to remain at work, or to report for work as soon as
practicable, following a significant emergency or disaster.
If position responsibilities require driving a personal vehicle,
then possession of a current valid California Driver's License and
adherence to the Kern County Hospital Authority Vehicle Use and
Driving Standard Policy (ENG-EC-119) is required.
If position responsibilities require driving a vehicle owned,
leased, or rented by Kern Medical, then possession of a current
valid California Driver's license, a signed authorization for
Release of Drivers Record Information, and adherence to the Kern
County Hospital Authority Vehicle Use and Driving Standard Policy
(ENG-EC-119) is required.
Keywords: Kern County Hospital Authority, Bakersfield , Utilization Review Nurse -(RN) Per Diem, Healthcare , Shafter, California
Click
here to apply!
|