SantaFeRecruiter Since 2001
the smart solution for Santa Fe jobs

RN Patient Intake Coordinator Per Diem Case Management

Company: Christus Health
Location: Santa Fe
Posted on: September 12, 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.Requirements

MINIMUM 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.

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


Managing Director of Investment Banking - Own a Franchise
Description: Managing Directors of Investment
Company: CMP.jobs
Location: Santa Fe
Posted on: 09/19/2019

Project Manager
Description: We are currently recruiting for a project manager for a large organization based in Albuquerque. The Project Manager is responsible for managing the overall pursuit and/or project delivery including scope, (more...)
Company: Employers Pro Advantage
Location: Albuquerque
Posted on: 09/19/2019

SLOT TECHNICIAN MANAGER
Description: Position Summary Under limited supervision, directs all aspects of the Slot Technical Operations. Manages all machine moves, preventive maintenance programs to ensure maximum operations. Supervision Exercised (more...)
Company: Sandia Resort & Casino
Location: Albuquerque
Posted on: 09/19/2019


Director of Retail Operations - Own a Franchise
Description: Directors of Retail Operations:
Company: Franchise Career Advisors
Location: Albuquerque
Posted on: 09/17/2019

RN Case Manager FT/40HRS
Description: Description br In collaboration with the patient/family, social workers, physicians and interdisciplinary team, the RN case manager ensures patient progression through the continuum of care in an efficient (more...)
Company: Christus Health
Location: Santa Fe
Posted on: 09/19/2019

Project Manager
Description: HUNTER has a client in Santa Fe that is looking for a mid level Project Manager. br br RESPONSIBILITIES AND REQUIRED SKILLS: br br --- Microsoft
Company: Hunter Technical Resources
Location: Santa Fe
Posted on: 09/19/2019

Executive VP of Business Development - Own a Franchise
Description: Executive VP of Business Development:
Company: CMP.jobs
Location: Albuquerque
Posted on: 09/19/2019

Director of Operations - Own a Franchise
Description: Directors of Operations: Make
Company: CMP.jobs
Location: Albuquerque
Posted on: 09/19/2019

Regional Sales Manager - Own a Franchise
Description: Regional Sales Managers: Make
Company: CMP.jobs
Location: Santa Fe
Posted on: 09/19/2019

PA Albuquerque Job--Ortho rehab, stroke and pain management (Physician
Description: We are a large physician owned group of 150 providers expanding in the Albuquerque
Company: IHC
Location: Albuquerque
Posted on: 09/20/2019

Log In or Create An Account

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

Santa Fe RSS job feeds