Travel Nurse RN - Case Management - $3,164 per week - Bakersfield California

Company: Kern Medical - 1700 Mount Vernon Ave.
Location: Bakersfield, California
Posted On: 01/23/2025

Certification Details
• BLS
  Job Details
  • Utilization Review Nurse II represents the fully experienced level in utilization review and discharge planning activities.
  • Obtains and evaluates medical records for in-patient admissions to determine if required documentation is present.
  • Conducts on-going reviews and discusses care changes with attending physicians and others.
  • Formulates and documents discharge plans.
  • Provides on-going consultation and coordination with multiple services within the hospital to ensure efficient use of hospital resources.
  • Identifies pay source problems and provides intervention for appropriate referrals.
  • Coordinates with admitting office to avoid inappropriate admissions.
  • Coordinates with clinic areas in scheduling specialized tests with other health care providers, assessing pay source and authorizing payment under Medically Indigent Adult program as necessary.
  • Reviews and approves surgery schedule to ensure elective procedures are authorized.
  • Coordinates with correctional facilities to determine appropriate use of elective procedures, durable medical goods and other services.
    Job Requirements
    • Possession of a valid license as a Registered Nurse in the State of California.
    • Two (2) years of experience or its equivalent as a registered nurse in an acute care hospital, at least one (1) of which was on a medical/surgical ward or unit.
    • One (1) year of utilization review/discharge planning experience in an acute care hospital or as a Case Manager in an alternate medical setting such as a clinic or physician's office performing utilization review or discharge planning.
      Additional Details
      • Incumbents may be required to possess and maintain specific certificates competency based on unit specific requirements as a condition of employment.
      • Possession and maintenance of a current American Heart Association Healthcare Provider Basic Life Support (BLS) card.
      • Appointees not possessing the BLS card must successfully complete appropriate training and qualify for the BLS card within 60 days of employment. More...

            

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