Registered Nurse (RN) Utilization Review / Case Management Per Diem
Location:
Plantation , Florida
Posted:
September 26, 2017
Reference:
01345-5385
Coordinator Utilization Review
Westside Regional Medical Center
Plantation, FL

Facility Description:
We're always on the move. New technology. State-of-the art care. Campus improvements. You'll find it's an exciting time at Westside Regional Medical Center, a 224-bed medical center and healthcare complex. Here, our 800 nurses and allied health professionals, along with 750 physicians, thrive in a fast-paced but friendly work environment. Our medical services, combined with programs in specialties varying from oncology to cardiology, from surgery to emergency care, illustrate why we are one of the best leading healthcare facilities in South Florida.
Westside Regional Medical Center is a member of the nation's leading provider of healthcare services, Hospital Corporation of America. HCA Ranks on Fortune's list of Most Admired Companies for three consecutive years. In addition, HCA has also been named one of Ethisphere's World's Most Ethical Companies for seven consecutive years. Join our tradition of excellence!
Benefits:
We offer a generous compensation package for Full-time and Part-time including: vacation, 401k, and Medical Insurance.

Job Description:
Responsible for the implementation of the review process. Monitors physician documentation for appropriateness of hospitalization, identifies and evaluates quality of care, infection control, safety
hazards, potential risk management and utilization problems. Reports findings to appropriate people. Responsible for assessments, continued reviews and coordination of discharge planning activities. This is accomplished by conferring with all parties involved and identifying
options. To implement the Utilization Review process on all hospital admissions. To conduct continued stay review, patient evaluation and to coordinate discharge planning activities with patients of all ages. To monitor over-utilization and under-utilization of services.
Qualifications:
Qualifications:
  • Licensure/ Certification/ Registration: Current Florida R.N., L.P.N., or Licensed Clinical Social Worker license.
  • Education: R.N., L.P.N., M.S.W., or undergraduate degree in the Healthcare related field
  • Experience: Two years experience in utilization review and discharge planning preferred.
  • Knowledge of Federal and State requirements: HCFA, Medicare, Champus, Medicaid, AHCA, and HRS.
Knowledge of managed care case management functions.
Active participation in professional groups to keep updated on changes in regulations. Motivational skills and awareness of position requirements.
Participation in continuing education

A little about us:
HCA is the nation’s leading private provider of healthcare services. Comprised of locally managed facilities which include 230,000 employees at over 160 hospitals, over 120 surgery centers and 100 urgent care facilities in 20 states and the United Kingdom

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