Providence Health Care Staffing

Sitka

﻿﻿MUST HAVE ACTIVE ALASKA LICENSE AT TIME OF SUBMISSION﻿﻿MUST HAVE COVID VACCINES﻿﻿ Position Summary

 

This position oversees the day-to-day requirements
of Utilization Management &amp; Review, authorizing acute and sub-acute
admissions at the Southeast Alaska Regional Health Consortium (“SEARHC”) Mount
Edgecumbe Medical Center. This position works intensively with advanced systems
to track and trend denials, build models for documentation improvement plans,
and coordinate with all areas and levels of the hospital. This position works
closely with the provider community to improve clinical documentation, and with
administration to ensure appropriate utilization of hospital resources.

Under
general supervision, provides professional assessment, planning, coordination,
implementation, and reporting of complex clinical data. Maintains compliance with regulations affecting utilization management.  Provider communication and behavior change
can be challenging; this individual must be a master communicator and change
agent. Clinical background required, as this position will be required to read,
rapidly synthesize, and narrate a clinical event to patients’ third-party
coverage for accurate and timely authorization and reimbursement. Must be able
to understand and manipulate advanced systems and work with and synthesize
large relational data sets, providing descriptive/predictive/prescriptive
analytics to modify facility operational behavior.

Accountabilities 

·        
Reviews
patients’ records and evaluates patient progress. Performs prospective
(admission), concurrent, and retrospective reviews and reconsideration
reviews/appeals; collects data to determine appropriateness of admission and
extended stay; records and transmits assessment findings, evaluations, and review
decisions; completes reports on review decisions and activities; promotes
quality improvement by identifying and referring issues affecting patient
quality of care; insures compliance with Revenue Cycle billing processes,
monitors the audit of cyclic reviews; certifies admission based on medical
necessity.   Analyzes
patient records and participates in interdisciplinary collaboration with
professional staff and Care Coordination team. 
Consults with the Care Coordination team regarding the level of nursing
care and collaborates with other departments in the evaluation of projects
affecting discharge plans.

·        
Facilitates
educational programs and advises physicians and other departments of
regulations affecting utilization management.

·        
Coordinates
and attends all Quarterly Utilization Review meetings and provides information
relative to the review process and any identified problems.  Responsible for the agenda and meeting
minutes; policy oversight with committee approval; performs any reviews and
studies as delegated by the committee; serves primarily as a liaison between
the hospital and any peer review organization and/or any other review agencies.

·        
Documents
review information.  Communicates results
to claims adjusters (i.e. Revenue Cycle). 
Enters billing information as appropriate; prepares information for
notification letters from providers and employees.  Receives and processes requests for appeal of
denials; responds to complaints per UR guidelines; maintains Utilization Review
and appeal logs. 

·        
Supports
clinical improvement activities of SEARHC by providing quality review; records
and reports all information within scope and authority.

·        
Performs
any administrative duties; receives, logs, and files a variety of reports,
charts, client interactions and other documents; performs other duties as
assigned or required.

Baseline Qualifications

Education/Experienc

Kiwi Healthcare

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Travel RN - Perioperative

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Travel RN - Infection Control

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The Registered Nurse specializing in perioperative nursing practice performs nursing activities in the preoperative, intraoperative, and postoperative phases of the patient’s surgical experience.  He/she works to ensure provision of quality care of surgical patients through utilization of the nursing process, established standards of care, policies and procedures.  The perioperative nurse acts as the patient advocate and is responsible for the direction and supervision of any personnel assigned to him/her. The RN is responsible to the Unit Nurse Manager, House Supervisor, or RN Team Leader. This position will be in the Call rotation. Must have current OR Nursing license. Schedule: Mon - Fri 6:30am to 3pm

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Travel RN - OR Circulate

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MUST HAVE:Current PERMANENT MN -RN licensePediatrics/Level 2 Nursery or NICU

NRP and PALS current **Not accepting travelers who have a permanent address within 50 miles of facility.

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Travel RN - Labor and Delivery

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48 Hour Rotating - Float as needed to take similar Med-Surg assignment on units.  Prefer candidates with travel and epic experience.  - Certifications: ACLS, BLS &amp; NIHSS.8
Reasons To Move to North Dakota - Livability Why
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Atlas MedStaff

Skyline Med Staff Nursing

AHS Staffing

Uniti Med

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QS Nurses

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Travel RN - Med Surg

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**MUST HAVE: Device experience (aside from assisting with implantation) or are qualified to work with devices. Needs to have experience interrogating devices. We need someone who has interpreted device data from PaceArt, written reports, and interrogated/tested devices from Biotronik, Medtronic, Abbot, and Boston Scientific. We are looking for someone to come in that will not require having to train on devices.** Position Summary:  The
Registered Nurse - Pacemaker Electrophysiology assists clinic providers and
staff in the deliverance and coordination of patient care, in order to
facilitate patient satisfaction, clinic efficiency, and provider productivity. This
position is responsible to assess, plan, implement, and evaluate patient care
while working in a collaborative and cooperative relationship with other
members of the health care team. Registered Nurses plan and implement patient
and family education. The Nurse Practices Act and Administrative Rules of the
state of Montana govern registered Nursing practice. Minimum Qualifications:·       
Bachelors of Science in Nursing·       
Montana Licensure (Registered Nurse)·       
American Heart Association BLS·       
American Heart Association ACLS required within
4 months of hire·       
1 year of nursing experience·       
Preferred: International
Board of Heart Rhythm Examiners (IBHRE) certification within 36 months of hire·       
Preferred: Experience
with pacemaker and ICD devices for Biotronic, Medtronic, St. Jude Medical and
Boston Scientific.·       
Preferred: Understanding
of cardiac arrhythmia management and EKG interpretation of arrhythmias. Essential Job Functions:·       
Interrogating devices, monitoring and
documenting patients response to device therapy or changes in settings, making
adjustments per physician's order, remote pacemaker follow-up management,
troubleshooting devices

Bozeman Health Deaconess Hospital Bozeman Montana Providence Health Care Staffing Job ID #250263. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined.

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