Registered Nurse Utilization Management and Prescreening-CM PreScreening Nurse
Company: CHRISTUS Health
Location: San Antonio
Posted on: June 26, 2022
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Job Description:
Description CHRISTUS Santa Rosa Health System is about people.
People we meet and care for; people whose lives we enhance, and
those whose lives we save. CHRISTUS is about the people who work
here: our award-winning medical staff, dedicated housekeeping
staff, compassionate nurses and patient-focused ancillary staff.
We're about people who need us, from small bumps to massive trauma,
no matter their economic bracket. We're about the people of San
Antonio, New Braunfels, and all the South Texas communities we
serve. Since 1869, CHRISTUS Santa Rosa Health System has grown and
flourished just as South Texas has grown. We remain the only
Catholic faith-based, non-profit health care system in San Antonio
and New Braunfels. Our healing ministry now includes five
full-service hospitals with 1,159 licensed beds, and a number of
specialty centers. If you are looking to join a rapidly growing
faith-based organization that encourages professional development,
we want you to become a part of the CHRISTUS Santa Rosa family
Summary: This position promotes effective and efficient use of
resources for both the patient and the hospital. The RN Utilization
Management and Prescreening nurse will ensure efficient and
effective utilization of resources for patient care delivery by
using hospital approved screening criteria (InterQual/MCG/Centers
for Medicare and Medicaid Services ---CMS--- Inpatient List) to
determine the medical necessity of a requested hospitalization and
the appropriate placement or level of care for that patient. The RN
Utilization Management and Prescreening nurse is actively involved
in the management of inpatient/observation patients, by assessment
and evaluation in level of care appropriateness and payer-driven
initiatives. The RN Utilization Management and Prescreening nurse
collaborates as necessary with other members of the health care
team to ensure the above according to the mission of CHRISTUS
Health Care. Requirements: --Graduate of an accredited nursing
program. --Familiarity with criteria sets including InterQual and
MCG preferred. --A minimum of 2 years in acute clinical practice as
a RN. --Case management and Utilization Review experience
preferred. --Currently licensed as RN in the state of employment.
--CPR certification preferred. --Certification in Case Management
preferred. Work Type: Full Time
Keywords: CHRISTUS Health, San Antonio , Registered Nurse Utilization Management and Prescreening-CM PreScreening Nurse, Healthcare , San Antonio, Texas
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