Overview
02197 RN-Case Mgmt/Utilization Review STRHS-Lawrenceburg Job Description 3.31.2017
Monitors adherence to the hospital’s utilization review plan to ensure appropriate use of hospital services, hospital admissions and extended hospitals stays.
Reports to: Director of Emergency Department
FLSA: Non-exempt
Grade: 67
EEO: □ 01 Officials and Managers X 02 Professionals □ 03 Technicians □ 04 Sales Workers □ 05 Administrative Support Workers □ 06 Craft Workers □ 07 Operatives □ 08 Laborers and Helpers □ 09 Service Workers
Essential Functions ?
Establishes and maintains efficient methods of ensuring the medical necessity and appropriateness of all hospital admissions.
Performs concurrent reviews for patients to ensure that extended stays are medically justified and are so documented in patient’s medical records.
Calculates the lengths of stay and continued-stay days for patients.
Maintains a liaison with the Social Service Department to facilitate timely discharge planning.
Job Requirements ?
*Minimum Education*
Must posses a current and active Registered Nurse License in the State of Tennessee.
*Minimum Education*
Bachelor’s degree preferred.
*Required Skills*
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
*Required Skills*
Certifications:
Basic Life Support (BLS)
*Required Skills*
Licenses: Current and active Registered Nursing license in the State of Tennessee
**Job:** **Nursing*
**Organization:** **Southern Tennessee Regional Health System – Lawrenceburg*
**Title:** *RN- Quality Review PRN*
**Location:** *Tennessee-Lawrenceburg*
**Requisition ID:** *7425-3078*
