RN Bed Management Nurse-Pres Main-PRN-Varied Days

Job Details:

Requisition Number:
29244 Location:
NM - Albuquerque Type of Opportunity:
PRN (as needed) FLSA Classification:
NON-EXEMPT Minimum Experience:
1 year Minimum Education:
Associates Degree Shift:
Days Minimum Skills/Requirements BSN preferred, State of New Mexico RN License required. One year of experience in nursing specialty or related clinical field required. Primary Job Functions ? Facilitate a team approach to the coordination and cost effective delivery of quality care and services across the continuum. Perform up-front review of all admissions to Presbyterian Hospital and Presbyterian Kasemen Hospital's to ensure admissions meet regulatory requirements for admission. ? Apply utilization review criteria to assess and document the appropriateness of admission, continued stay, level of care, and readiness for discharge; refer cases that do not meet criteria to designated Physician Advisor; collaborate with physician, care givers, patient, family, and payer to pro-actively develop and implement discharge plan. ? Interface and negotiate with physicians requesting to admit to PHS to ensure appropriate and timely payment for services. ? Ensure that the quality of patient care is maintained or surpassed by collecting quality indicators and clinical path variance data; report and identify data that indicate potential areas for improvement of care and services provided within the system. ? Collaborate with physicians, care providers, and ancillary support services to foster a team approach to address care management issues for specific patients and disease processes. ? Educate physicians, nurses, ancillary support staff, patients, and families regarding Care Coordination role; serve as utilization management resource.