University of Toledo-posted 3 months ago
$32 - $42/Yr
Full-time
Toledo, OH
Educational Services

Responsible for coordinating the clinical care of patients by assessing, planning, and facilitating progression through the plan of care. Responsible for the collection of clinical information to determine medical necessity for admission and continued hospitalization. Reviews and monitors utilization of resources throughout the stay. Functions to ensure optimal clinical and financial outcome, as well as optimal patient satisfaction. Serves as a catalyst to challenge current practices and streamline delivery of services. Demonstrates professional interpersonal skills in dealing with patients, families, physicians, other staff and the community.

  • Coordinate the clinical care of patients by assessing, planning, and facilitating progression through the plan of care.
  • Collect clinical information to determine medical necessity for admission and continued hospitalization.
  • Review and monitor utilization of resources throughout the patient's stay.
  • Ensure optimal clinical and financial outcomes, as well as optimal patient satisfaction.
  • Challenge current practices and streamline delivery of services.
  • Demonstrate professional interpersonal skills in dealing with patients, families, physicians, other staff, and the community.
  • Active Registered Nurse (RN) license in the state of Ohio.
  • Bachelor of Science in Nursing (BSN) required, or a Master of Science in Nursing (MSN) may be accepted in lieu of a BSN.
  • Minimum of 5 years of relevant experience in case management, utilization review, and/or clinical documentation in lieu of a degree.
  • Current Basic Life Support (BLS) certification.
  • Minimum of 3 years of clinical nursing experience in an acute care hospital or behavioral health setting.
  • Competent in computer skills (Word, Excel, Internet, and e-mail).
  • Able to work flexible hours, including rotating shifts and weekends/holidays.
  • Previous case management experience.
  • Utilization review experience.
  • Clinical documentation experience.
  • Behavioral health experience.
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