1+ months

RN ACCESS-PRE-CERT

HealthcareSource

Minot, ND 58701

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POSITION SUMMARY
- The Pre-Cert Access RN facilitates effective utilization of appropriate health services via collaboration with physicians, nurses, social workers, other healthcare team members, and payers to coordinate health care services that optimize clinical outcomes and patient satisfaction prior to admission This position performs pre-admission, clinical review of medical necessity to determine the appropriate level of care and resource utilization. The Pre-Cert Access RN is responsible for ensuring implementation and monitoring of compliant documentation strategies by ensuring orders are present, and accurate prior to patient being admitted.
MINIMUM QUALIFICATIONS AND REQUIREMENTS
- Licenses and Certifications Required
  - Current or temporary RN license in ND or compact RN licensure
  - Certification in Case Management is preferred
  - BLS certification preferred
- Educational Requirements
  - BSN strongly preferred
- Experience Requirements
  - Must have three (3) years of recent clinical experience in an acute care or ETC setting
  - Prior Case Management/Utilization Review experience preferred
- Special Skills or Training Requirements
  - Demonstrated evidence of dependability, diplomacy, and initiative
  - Demonstrated strong communication and interpersonal skills with all levels of internal and external customers, including but not limited to medical staff, patients and families, clinical personnel, other Case Managers, support and technical staff, outside agencies, third party payers, and members of the community
  - Basic understanding of reimbursement issues, denials, and DRGs
  - Personal computer skills using e-mail, word processing, etc.
  - Knowledge of clinical criteria for medical necessity

Jobs Rated Reports for Registered Nurse

Posted: 2022-03-01 Expires: 2022-07-27

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