RN Utilization Review (UR)
Posted on: April 17, 2019
Memorial Health Medical Center is a 612-bed hospital in Savannah,
Georgia. We opened our doors in 1955 and have evolved into the most
advanced healthcare provider in the region. We are a regional
referral center for heart care, cancer care, trauma care,
children's care, high-risk pregnancies, and high-risk newborn care.
Our hospital includes the region's only Level 1 trauma center , the
region's only children's hospital .
Memorial Health serves 35 counties across southeast Georgia and
southern South Carolina. Memorial Health system includes primary
and specialty care doctors, business services, and NurseOne , our
24-hour call center. We also have a major medical education program
that trains residents in diagnostic radiology, family medicine,
internal medicine, obstetrics and gynecology, pediatrics, and
Memorial Health Medical Center has earned local, regional, and
national honors . At Memorial Health, we are not content with
business as usual. Our goal is to create a new standard for
excellence that will not only serve our current patients, but also
change the future of medicine.
We are searching for a Registered Nurse (RN) Utilization Review /
Case Manager to join our wonderful team! The Registered Nurse (RN)
Case Manager/ Utilization Review has primary responsibility and
authority for evaluating each observation patient for inpatient
intensity of services per InterQual criteria. This includes but is
not limited to justification for admission, evaluation of care for
appropriateness for continued stay, appropriateness of level of
care ordered, and compliance with the delivery of health care
services. The Registered Nurse (RN) Case Manager / Utilization
Review is accountable for follow-up notification to ensure timely
and ongoing authorizations when required for observation patients.
Responsible for the MIDAS Progression of Care documentation and
case reviews every 4-6 hours and strong physician communication and
collaboration via phone or in person several times per day in order
to tightly manage patients in observation status. Responsible for
elevation to higher level of expertise when criteria not met,
documentation not clear, status orders or level of care ordered is
not supported. Responsible for observation data tracking, trending
and reporting. The RN Case Manager/ Utilization Review will become
the observation subject matter expert and will help educate other
disciplines as needed. Rotating weekend work shifts required.
Performs Management activities in accordance with HCA accepted
We offer you a generous compensation package including: competitive
pay, paid time off, 401k, medical, dental vision and life
insurance, tuition reimbursement and employee stock purchase plan,
student loan assistance program and much more.
We are so excited to speak with you about this phenomenal
opportunity. Apply to hear more.
We are an equal opportunity employer and value diversity at our
company. We do not discriminate on the basis of race, religion,
color, national origin, gender, sexual orientation, age, marital
status, veteran status, or disability status.
Keywords: HCA., Savannah , RN Utilization Review (UR), Healthcare , Savannah, Georgia
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