What are the responsibilities and job description for the Utilization Review Nurse position at Actalent?
Description:
This position will cover inpatient and emergency departments.
Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with the family, patient and other disciplines to coordinate a safe and acceptable discharge plan. Functions as an indirect caregiver, patient advocate and manages patients in the most cost effective way without compromising quality. Transfers stable non-members to planned Health care facilities. Responsible for complying with AB 1203, Post Stabilization notification. Complies with other duties as described. Must be able to work collaboratively with the Multidisciplinary team, multitask and in a fast pace environment.
Skills:
Acute care, Case Management, BLS
Top Skills Details:
Acute care, Case Management,BLS
Additional Skills & Qualifications:
**Two (2) years combined RN experience in an acute care setting or case management required.
**Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques and methods of Utilization review/management discharge planning or case management.
**Working knowledge of regulatory requirements and accreditation standards (TJC, Medicare, Medi-Cal, etc.).
**Demonstrated ability to utilize written and verbal communication, interpersonal, critical thinking and problem-solving skills.
**Demonstrated ability in planning, organizing, conflict resolution and negotiating skills.
**Computer literacy skills required
Experience Level:
Intermediate Level
Diversity, Equity & Inclusion
At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:
- Hiring diverse talent
- Maintaining an inclusive environment through persistent self-reflection
- Building a culture of care, engagement, and recognition with clear outcomes
- Ensuring growth opportunities for our people
Actalent is an equal opportunity employer.
About Actalent
Actalent connects passion with purpose. We help visionary companies advance their engineering and science initiatives through access to specialized experts that drive scale, innovation, and speed to market. With a network of almost 30,000 engineering and sciences consultants and more than 4,500 clients across the U.S., Canada, Asia, and Europe, Actalent serves many of the Fortune 500. An operating company of Allegis Group, the global leader in talent solutions, Actalent launched as a new specialized engineering and sciences services and workforce solutions brand in 2021.
Salary : $43 - $54
