Utilization Review Nurse (RN) Job at Madera Community Hospital, Madera, CA

WE5vWU9BMmVvT2RvaU1MMEhPUjhnanpsTlE9PQ==
  • Madera Community Hospital
  • Madera, CA

Job Description

Job Description

Job Description

Madera Community Hospital

Located in the heart of Central California, Madera Community Hospital is a General Acute Care, private, not-for-profit hospital dedicated to improving and maintaining the health and wellness of residents throughout the Central Valley. We are committed to identifying and serving our community's needs with compassion, concern, care and safety for every patient. Madera Community Hospital is a growing acute care facility seeking talented individuals with a drive to provide quality care and dedicated to making a difference in our community.

Position Summary: The Utilization Review Nurse assesses, plans, implements and evaluates the needs of patients for discharge planning and utilization review. This includes those who may have Medicare, Medicaid, HMO or private insurance to cover their stay at various units. Discharge planning is coordinated with physicians, Nursing, patient and family who have an ongoing caring relationship with the patient. Utilization review procedures include those stated for discharge planning in addition to knowledge of criteria for Medicare, Medicaid coverage and that of HMO or private insurers.

Qualifications:

  • Minimum of 1–3 years of related acute care nursing experience and completion of an accredited nursing program required.
  • Experience with Meditech Electronic Health Record (EHR) system preferred.
  • Must have working knowledge of criteria for Medicare, Medicaid, HMO and private insurance coverage.
  • Ability to maintain collaborative working relationships to ensure a positive and productive work environment.
  • Ability to plan and prioritize work with frequent interruptions.
  • Ability to provide exceptional customer service.
  • Effective verbal and written communication skills.
  • Knowledge and proficiency of hospital information technology applications.
  • Requires Current California Board of Nursing Registered Nurse License.
  • Current American Heart Association BCLS certificate required; ACLS certificate preferred.
  • CCM in Case Management preferred.

Madera Community Hospital provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Job Tags

Local area

Similar Jobs

Trustco Bank

Appraisal Coordinator Job at Trustco Bank

 ...Trustco Bank is seeking an Appraisal Coordinator Administrative to support the appraisal department. You will manage emails, coordinate appraisal scheduling, maintain reports, and assist with invoices and research. A strong office skillset, organization, and clear communication... 

Grand Mental Health

Behavioral Health Coach Job at Grand Mental Health

Description JOB DUTIES AND RESPONSIBILITIES: Assist consumers with various day-to-day activities including maintaining youth in school and home environment Provide one-on-one student training, support and skills building. Provide outreach and engagement services...

Department of the Interior

Supervisory Criminal Investigator (Chief of Police) Job at Department of the Interior

Job Duties Performs first level supervisory personnel management responsibilities that include overseeing appraising employee performance, hearing and resolving complaints, scheduling and granting leave, and advocating appropriate recognition. Coordinates the development...

Dunkin' Donuts

Bakery Assistant Job at Dunkin' Donuts

 ...environment that is challenging and allows you to apply your personality and skills in a variety of ways, becoming a Baker for a Dunkin Donuts franchisee is a great career choice. Our team is committed to making our guests day by serving them with a great product, a... 

Marvs Quality Towing inc

Class A Container Landoll Driver Job Job at Marvs Quality Towing inc

Class A Container Landoll Driver JobJoin Our Team at Marv's Quality Towing INC Professional Landoll Operator (Full-Time)Since 1963, Marv's Quality Towing INC has been Boulders trusted name in towing and hauling, delivering exceptional service to our community. We...