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 13, 2019

Job Description:

Description Registered 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.PandoLogic. Keywords: Hospital Admissions Coordinator, Location: Santa Fe, NM - 87592

Keywords: CHRISTUS Health, Santa Fe , RN Patient Intake Coordinator Per Diem Case Management, Other , 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 Other Jobs


Albuquerque SSAT Tutor Jobs
Description: Albuquerque SSAT Tutor Jobs Varsity Tutors is always looking for bright individuals in Albuquerque who are passionate
Company: Varsity Tutors
Location: Albuquerque
Posted on: 09/22/2019

Hair Stylist - Licensed - ALBUQUERQUE, NM-6001 Winterhaven Rd. Ste. B, 87120
Description: Sport Clips is hiring Licensed Hairstylists, Cosmetologists and Barbers in our rapidly growing, exciting, fast-paced salons br br JOB DESCRIPTION br br Sport Clips is the nation's leading Men's (more...)
Company: Sport Clips
Location: Albuquerque
Posted on: 09/22/2019

Customer Care Online Automotive Consultant
Description: Customer Care Online Automotive Consultant Our agents who are currently servicing this campaign love to provide service to this client because of the diverse duties involved. As an agent for this client, (more...)
Company: Mommy Jobs Online
Location: Albuquerque
Posted on: 09/22/2019


Call Center In Texas Is Hiring
Description: TeleReach Corporate is a national telephone-marketing firm engaged exclusively in outbound business to business calls. We offer a unique opportunity with an excellent earning
Company: TeleReach Corporate
Location: Albuquerque
Posted on: 09/22/2019

Commercial Insurance Account Manager
Description: CommercialLines Account Manager is a work from home position and who is a self-starter,well
Company: Patra Corp
Location: Albuquerque
Posted on: 09/22/2019

Albuquerque SAT Writing and Language Tutor Jobs
Description: Albuquerque SAT Writing and Language Tutor Jobs Varsity Tutors is always looking for bright individuals in Albuquerque
Company: Varsity Tutors
Location: Albuquerque
Posted on: 09/22/2019

Commercial Lines Account Manager - Albuquerque
Description: CommercialLines Account Manager is a work from home position and who is a self-starter,well
Company: Patra Corp
Location: Albuquerque
Posted on: 09/22/2019

Optometrist, Albuquerque, NM
Description: OD needed to help expand a busy primary care practice. Full-time opportunity to
Company: National Vision, Inc
Location: Albuquerque
Posted on: 09/22/2019

Albuquerque College Chemistry Tutor Jobs - Albuquerque
Description: Albuquerque College Chemistry Tutor Jobs Varsity Tutors has students in Albuquerque looking for College Chemistry tutoring. Varsity Tutors is a live learning platform that connects
Company: Varsity Tutors
Location: Albuquerque
Posted on: 09/22/2019

Virtual recruiter - (Full time)
Description: At Mommy Jobs Online our qualified recruiters will enjoy the freedom and profitability of independent recruiting 1099 while benefiting from the tools, branding and support of a national recruiting work (more...)
Company: Mommy Jobs Online
Location: Albuquerque
Posted on: 09/22/2019

Log In or Create An Account

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

Santa Fe RSS job feeds