SantaFeRecruiter
the smart solution for Santa Fe jobs

RN Patient Intake Coordinator Per Diem Case Management

Company: Christus Health
Location: Santa Fe
Posted on: May 19, 2019

Job Description:

DescriptionRegistered Nurse uses approved screening criteria (Milliman/Interqual/CMS Inpatient List) to determine the medical necessity of a requested hospitalization and the appropriate level of care for that patient. Works collaboratively with Nursing Supervisor for appropriate bed assignment. Actively involved in management of inpatient observation patients. Provides consultative role as utilization management nurse to clinical and non-clinical departments. Documents objective findings against approved indicators. Assists with retrospective reviews and medical necessity denials per communication with third party payors. Follows UM policies and procedures and assists with continually improving the quality and effectiveness of the utilization management program at CSVRMC.RequirementsMINIMUM QUALIFICATIONS: EDUCATION: Graduate of an approved school of nursing, BSN preferred. CERTIFICATION/LICENSES: Current licensure as an RN in New Mexico mandatory. SKILLS: Excellent reading, writing, and editing skills in English. Strong organizational skills. Knowledge of or ability to learn Milliman and Interqual criteria. Ability to effectively evaluate physician orders and medical records. Competent computer skills for word processing, data collection and retrieval. Ability to analyze and create reports. EXPERIENCE: Minimum of five years of experience in a health care setting, of which a minimum of two years has been spent in an acute care setting. Experience with utilization management, knowledge of Milliman and Interqual criteria, managed care language, and CMS rules and regulations preferred. NATURE OF SUPERVISION: -Responsible to: Director and Manager of Case Management ENVIRONMENT: Blood borne Pathogens: A Office setting. Rotating shifts and weekends when necessary. Must be able to adjust to frequently changing workloads and frequent interruptions. PHYSICAL REQUIREMENTS:Ability to move around the hospital to all units/departments for about 10% of the day, in office 90% of the day. Requires close work, good vision, dexterity to write as well as to use computer keyboard. May be required to lift, push, pull and/or carry up to 25 lbs.PandoLogic.Category: Healthcare, Keywords: Hospital Admissions Coordinator

Keywords: Christus Health, Santa Fe , RN Patient Intake Coordinator Per Diem Case Management, Executive , Santa Fe, New Mexico

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


Project Manager
Description: Project Manager Project Manager POSITION OVERVIEW: The role will build strong customer relationships with
Company: Thomson Reuters
Location: Albuquerque
Posted on: 05/23/2019

Director
Description: The Trust for Public Land's TPL mission is to create parks and protect land for people, ensuring healthy, livable communities for generations to come. Every park, playground, and public space we create (more...)
Company: Trust For Public Land
Location: Santa Fe
Posted on: 05/23/2019

Director Clinical Services - Registered Nurse license required
Description: Current Compassus Colleagues: Please apply via Workday. The most rewarding thing is when you get a call back from a patient or family member saying that the nurse was wonderful and helped them through (more...)
Company: Compassus
Location: Santa Fe
Posted on: 05/23/2019


Security Operations Manager
Description: Security Operations Manager Overview Peraton is expanding its presence across the Space enterprise bringing advanced concepts, space and cyber solutions, enterprise systems and services delivery, and (more...)
Company: Peraton
Location: Albuquerque
Posted on: 05/21/2019

Unit Manager Director (Full Time) (Albuquerque,NM)
Description: Genesis is one of the nation's leading providers of post-acute healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing (more...)
Company: Albuquerque Heights Healthcare and Rehab - Genesis
Location: Albuquerque
Posted on: 05/23/2019

Unit Manager Director (Full Time) (Rio Rancho,NM)
Description: Genesis is one of the nation's leading providers of post-acute healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing (more...)
Company: Albuquerque Heights Healthcare and Rehab - Genesis
Location: Rio Rancho
Posted on: 05/21/2019

Assistant Store Manager Pojoaque Pueblo New Mexico
Description: General Summary:As a Family Dollar Assistant Store Manager you will responsible for providing exceptional service to our customers. A key priority includes assisting the Store Manager in the daily operation (more...)
Company: Family Dollar Stores, Inc.
Location: Santa Fe
Posted on: 05/23/2019

Associate Clinical Director
Description: We are dedicated to the science of Applied Behavior Analysis ABA . We believe in the power of our science to transform the lives of children and their families touched by Autism and related disorders. (more...)
Company: Job Juncture
Location: Albuquerque
Posted on: 05/21/2019

Director, Medical Science Liaison
Description: Sunovion Pharmaceuticals is looking for a Director, Medical Science Liaison Psychiatry for the the Southwest Territory - Southern CA, AZ, NV, NM This is a field-based position. The successful candidate (more...)
Company: Sunovion
Location: Albuquerque
Posted on: 05/23/2019

Unit Manager Director (Full Time) (Rio Rancho,NM)
Description: Genesis is one of the nation's leading providers of post-acute healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing (more...)
Company: The Rehab Center of Albuquerque - Genesis HealthCa
Location: Rio Rancho
Posted on: 05/23/2019

Log In or Create An Account

Get the latest New Mexico jobs by following @recnetNM on Twitter!

Santa Fe RSS job feeds