Care Coordinator- RN On-Site

Missouri Delta Medical Center • Sikeston, MO

2d • Onsite

About The Position

Functions of Position:

 Performs admission, concurrent and focused reviews using severity of illness/intensity of service criteria to ensure effective utilization management.

 Refers unjustified cases to physician advisor following hospital U.R. plan.

 Collects and analyzes data to assure that quality and cost effectiveness issues are addressed for enhancement of patient care and Q.I./R.M./U.R. activities.

 Maintains daily and monthly work log and/or abstracts on all reviews to ensure appropriateness of utilization review activities.

 Prepares reports, graphs, and statistical data for reporting through committee structures.

 Collaborates with physicians, nurses, and other health care personnel to ensure effective utilization management.

 Communicates with state PRO, insurance companies and other third-party organizations to ensure appropriate utilization of resources.

Qualifications:

▪Must have graduated from an approved school of nursing.

▪Must have a registered nurse license.

▪Must have a valid registered nurse license to work in the state of Missouri.

▪Must have a minimum of 2-3 years of experience in a related field.

▪This is an on-site job at Missouri Delta Medical Center, no remote eligibility with this position.

Monday - Friday 8:00am - 4:30pm

Requirements

• Must have graduated from an approved school of nursing.
• Must have a registered nurse license.
• Must have a valid registered nurse license to work in the state of Missouri.
• Must have a minimum of 2-3 years of experience in a related field.
• This is an on-site job at Missouri Delta Medical Center, no remote eligibility with this position.

Responsibilities

• Performs admission, concurrent and focused reviews using severity of illness/intensity of service criteria to ensure effective utilization management.
• Refers unjustified cases to physician advisor following hospital U.R. plan.
• Collects and analyzes data to assure that quality and cost effectiveness issues are addressed for enhancement of patient care and Q.I./R.M./U.R. activities.
• Maintains daily and monthly work log and/or abstracts on all reviews to ensure appropriateness of utilization review activities.
• Prepares reports, graphs, and statistical data for reporting through committee structures.
• Collaborates with physicians, nurses, and other health care personnel to ensure effective utilization management.
• Communicates with state PRO, insurance companies and other third-party organizations to ensure appropriate utilization of resources.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed