Care Mgmt Coord - Optional
TriHealth · Cincinnati, OH · 2 wk ago
HealthcareFull-time
Job Responsibilities
- Using current practice guidelines, assesses all patients, evaluating progress toward clinical goals and next level of care.
- Reassesses as clinical condition changes.
- Complete initial utilization review using Interqual criteria.
- Take follow up action to resolve the situation when criteria are not met by implementing and documenting according to the Utilization Review plan.
- Collaborate with the multidisciplinary team to assure effective, efficient, appropriate care in order to optimize the health status and assure a smooth transition between levels of care for patients served.
- Perform utilization review for patients served.
Job Requirements
- Associate's Degree or Diploma in Nursing
- Hires into position (internal and external) required to obtain BSN within 5 years of hire
- BLS/CPR (Basic Life Support for Healthcare Providers)
- Registered Nurse
- Excellent communication skills
- Ability to negotiate
- Problem solve
- Establish effective working relationship with members of the healthcare team and external customers
- Knowledge & experience in computer keyboarding
- Professional organization membership preferred
- 3-4 years experience Clinical in Nursing
Qualifications
- Associate's Degree or Diploma in Nursing
- BLS/CPR (Basic Life Support for Healthcare Providers)
- Registered Nurse
- Excellent communication skills
- Ability to negotiate
- Problem solve
- Knowledge & experience in computer keyboarding
- Professional organization membership preferred
- 3-4 years experience Clinical in Nursing
Skills
- Excellent communication skills
- Ability to negotiate
- Problem solve
- Knowledge & experience in computer keyboarding
Benefits
- Professional organization membership preferred
Pay
N/A
Schedule
N/A
Working Conditions
- Climbing - Rarely
- Concentrating - Consistently
- Continous Learning - Consistently
- Concentration - Consistently
- Hearing: Conversation - Consistently
- Hearing: Other Sounds - Consistently
- Interpersonal Communication - Consistently
- Kneeling - Occasionally
- Lifting
- Lifting 50+ Lbs - Occasionally
- Lifting
- Pulling - Frequently
- Pushing - Frequently
- Reaching - Occasionally
- Reading - Consistently
- Sitting - Frequently
- Standing - Frequently
- Stooping - Occasionally
- Talking - Consistently
- Thinking/Reasoning - Consistently
- Use of Hands - Consistently
- Color Vision - Consistently
- Visual Acuity: Far - Consistently
- Visual Acuity: Near - Consistently
- Walking - Frequently
TriHealth SERVE Standards and ALWAYS Behaviors
- Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
- Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
- Refrain from using cell phones for personal reasons in public spaces or patient care areas
- Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
- Offer patients and guests priority when waiting (lines, elevators)
- Work on improving quality, safety, and service
- Respect cultural and spiritual differences and honor individual preferences
- Respect everyone’s opinion and contribution, regardless of title/role
- Speak positively about my team members and other departments in front of patients and guests
- Value the time of others by striving to be on time, prepared and actively participating
- Show courtesy and compassion with customers, team members and the community