Utilization Review RN

MEDSTAR HEALTH
Olney, MD Part Time
POSTED ON 10/22/2023 CLOSED ON 1/4/2024

What are the responsibilities and job description for the Utilization Review RN position at MEDSTAR HEALTH?

General Summary of Position

POSITION PURPOSE: This position has primary responsibility for case management of patients and their families, coordinating and monitoring the quality of care and treatment planning process for the duration of their stay in the Hospital.

1.  Case Management: Facilitates patient care by determining and reviewing ongoing medical criteria standards and benchmarks. Facilitates and effective transition for patients and their families. Coordinates patient’s transition in accordance with utilization review guidelines and admission criteria, through the appropriate services. Communicates and consults with clinical and utilization review staff, regarding patient progress and movement through system. Updates patient and family situations daily. Plans for patient’s discharge, making all necessary arrangements, contacts and completes placement prior to discharge. Meets with families on individual bases to prepare for discharge. Acts as a liaison between patients/families and other health care providers, agencies and payers. Responsible for patient/family education as well as staff education. Provides extensive clinical support to families in crises. Provides education to patients/families for continuing care options. 

2. Team: Acts as a departmental and hospital resource through informal leadership and technical expertise. Acts as a mentor to others on team: Participates in the orientation of new staff members, assists with supervision of students and volunteers as needed. Provides education for hospital staff, including physicians, nurses, discharge planners, social service workers and others. 
3. Development: Maintains current knowledge, certification, and licensure: Identifies learning needs in self and initiates actions to address these education needs. Attends continuing education programs in order to maintain certification. Attends hospital sponsored training programs as required by the department. Assists in the development of new programs to improve quality of care and/or reduce unnecessary expenses. Completes all mandatory requirements, certifications, and licensure within allotted timeframe for completion (License, PPD, Competencies, Age Specifics, etc.) 
4. Organizational knowledge: Works effectively within and between departments. Participates on inter-departmental teams and committees, communicating unit knowledge as appropriate Provides department/unit with information and knowledge acquired during participation with interdepartmental teams and committees. Demonstrates a constructive approach during all interactions with staff, supervisors, and managers both inside and outside the unit.

Minimum Qualifications

·       Education - ADN, BSN, MSN, or CNL from an accredited School of Nursing required.

·       Experience - Prior Clinical Nursing experience preferred.

·       Licenses and Certifications - Active Maryland RN (or Compact) License and Basic Life Support for Healthcare providers required.

What we offer:

  • ·       Tuition assistance ($5K annually) to advance your unique career plans and goals.
  • ·       Medical, dental, and vision choices, including Flexible Spending Accounts (FSA) that allow Associates to set aside pre-tax dollars to pay for healthcare and dependent care expenses.
  • ·       System-wide RN referral bonus program - up to $6000 per RN
  • ·       Relocation assistance up to $3500 (eligibility requirements)
  • ·       Free On-site parking
  • ·       MedStar is truly committed to employee and nurse wellness as well as diversity and inclusion.
  • ·       An environment of world-class medical, clinical and research practices and innovation where you will truly impact patient care and outcomes.

 

 

Why MedStar Health?
At MedStar Health, we understand that our ability to treat others well begins with how we treat each other. We work hard to foster an inclusive and positive environment where our associates feel valued, connected, and empowered. We live up to this promise through:

  • Strong emphasis on teamwork—our associates feel connected to each other and our mission as an organization. In return, our effective team environment generates positive patient outcomes and high associate satisfaction ratings that exceed the national benchmark.
  • Strategic focus on equity, inclusion, & diversity—we are committed to equity for all people and communities. We continue to build a diverse and inclusive workplace where people feel a sense of belonging and the ability to contribute to equitable care delivery and improved community health outcomes at all levels of the organization.
  • Comprehensive total rewards package—including competitive pay, generous paid time off, great health and wellness benefits, retirement savings, education assistance, and so much more.
  • More career opportunities closer to home—as the largest healthcare provider in the Baltimore-Washington, D.C. region, there are countless opportunities to grow your career and fulfill your aspirations.

About MedStar Health
MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation, and research. Our team of 32,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team. Together, we use the best of our minds and the best of our hearts to serve our patients, those who care for them, and our communities. It’s how we treat people.

MedStar Health is an Equal Opportunity (EO) Employer and assures equal opportunity for all applicants and employees. We hire people to work in different locations, and we comply with the federal, state and local laws governing each of those locations. MedStar Health makes all decisions regarding employment, including for example, hiring, transfer, promotion, compensation, benefit eligibility, discipline, and discharge without regard to any protected status, including race, color, creed, religion, national origin, citizenship status, sex, age, disability, veteran status, marital status, sexual orientation, gender identity or expression, political affiliations, or any other characteristic protected by federal, state or local EO laws. If you receive an offer of employment, it is MedStar Health's policy to hire its employees on an at-will basis, which means you or MedStar Health may terminate this relationship at any time, for any reason.

Salary : $5,000

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