RN Utilization Review Full-time
Cameron Memorial Community Hospital

Registered Nurse Case Manager and Utilization Review

Cameron Memorial Community Hospital Angola, IN 46703, US

Cameron Hospital is an independent, not-for-profit facility that proudly serves Angola and Steuben County. We’ve been a cornerstone of this community and the surrounding area in northeast Indiana dating back to 1926. Over the years, we’ve helped generation after generation of area residents enjoy better health and live comfortably. Today, Cameron Hospital has grown into something more than a simple community hospital. Filled with advanced equipment and skilled specialists, Cameron is a modern, high-tech facility that provides advanced diagnostics, a variety of specialties and cutting-edge treatment options that are combined with highly personalized and compassionate care.

DEPARTMENT:  Utilization Review

JOB TITLE: Registered Nurse Case Manager and Utilization Review

SHIFT:  .8 FTE, 64 hours bi-weekly, Days, Rotating weekend coverage required.

Essential Functions

  • Assess all needs for referrals to include durable medical equipment, special needs equipment/services, ongoing specialty medical care, and institutional referrals such as transfers to rehabilitative or nursing home care.
  • Collaborates with providers, other members of the healthcare team, and community agencies as needed to help facilitate the best discharge plan for the patient.
  • Create individual and comprehensive case management and treatment plans.
  • Follow case and quality management processes in compliance with regulatory guidelines and company procedures.
  • Participates in Daily Collaborative Rounds.

QUALIFICATIONS

  • Three years of hospital clinical experience.

Skills/Competencies

  • Demonstrates clinical assessment skills, including assessing clients from pre-admission to post discharge.
  • Comply with the Indiana Pre-Admission Screening/PASAAR program manual to complete designee duties as a discharge planner.
  • Knowledge of available community resources and external agencies.
  • Ensures timely and accurate completion of workload and clinical documentation.

Education Required

  • Bachelor's degree in nursing or higher.
  • Associate degree Nurse currently enrolled in an accredited bachelor's program with a completion date of fewer than 12 months from hire.

Licenses Requirements

  • Licensed Registered Nurse in the State of Indiana

Certification Required or Preferred

  • None

 

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