Utilization Review
Location: Dallas, Texas
Description: UT Southwestern Medical Center - Dallas is at present recruited Utilization Review right now, this position will be settled in Texas. For complete informations about this position opportunity please give attention to these descriptions. Security This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information
Salary Salary Negotiable
Experience and Education Graduate of accredited nursing school, & six (6) years exp. in a clinical setting, preferably with some UR; or Registered Nurse with four (4) years exp. in a clinical setting, with CCM required. **Texas Registered Nurse and CPR certification required.** Preferred: BSN
Job Duties Collaborates with other disciplines, physicians and payors to assess, develop, implement and monitor comprehensive plan of care to ensure continuity of care and cost effectiveness.
Collaborates with physicians and staff regarding medical necessity for admission, continued stay or alternative treatment facilities and/or levels of care. Collaborates with Social Work and others to arrange discharge planning referrals per physician orders.
Relates utilization assessment to payors that are needed to justify continued stay review and to obtain pre-certification.
Assesses appropriateness of level of care on concurrent b! asis.
Evaluates effectiveness of care and facilitates coor! dination of care toward specific outcomes criteria.
Maintains timely documentation. Meets department and St. Paul University Hospital documentation standards.
Identifies quality and risk issues, makes appropriate referrals. Confers with supervisor and/or Medical Director as appropriate.
Communicates effectively with other health care providers, patients, families, other hospital personnel and visitors. Demonstrates effective communication with adolescents, adults and older adults.
Demonstrates knowledge of unit performance improvement and is aware of expected participation.
Identifies need for professional growth and seeks appropriate development opportunities.
Evaluates care management outcomes data to identify trends and areas for improvement.
Performs other duties as assigned.
**Other Duties: Performs other duties as assigned.
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If you were eligible to this position, please send us your resume, with salary requir! ements and a resume to UT Southwestern Medical Center - Dallas.
Interested on this position, just click on the Apply button, you will be redirected to the official website
This position will be started on: Tue, 02 Jul 2013 00:02:12 GMT
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