Utilization Management RN-Relocation to VA
Company: Carilion Clinic
Posted on: June 13, 2019
Your accomplishments and expertise are noteworthy. They're worth
taking to the next level at Carilion Clinic, a Joint
Commission-accredited organization that has earned distinguished
accolades for clinical excellence, including Level 3
Patient-Centered Medical Home recognition from the National
Committee for Quality Assurance.Utilizing a collaborative process,
the Utilization Analyst (UA) will assess, plan, monitor and
evaluate all pertinent clinical, psycho-social, and medical
information and criteria (Interqual) to assist in determination of
the initial and concurrent plan of care for all patients presenting
to CMC for intervention. The UA will ensure the utilization of
appropriate and timely intervention being the steward of resources
for all populations.This position requires the ability to work
independently and exercise sound, clear judgment in interactions
with physicians, payors, patients/families, internal CMC
departments, and external resources. This position requires strong
analytical, PC, organizational, and time management skills as
evidenced by a capacity to prioritize multiple tasks daily. The
position requires and understanding of physical/physiological
characteristics of illness and/or impairment and the ability to
extrapolate the information to a POC, as well as articulate the POC
and question interventions as appropriate.Excellent interpersonal,
verbal and written communication and negotiation skills are a
requirement, as well as a clear understanding of the SOP within
CM/UM and managed care.A regional leader based in Roanoke,
Virginia, our community-based healthcare network includes seven
hospitals-including a U.S. News & World Report Top 10 hospital and
two Magnet---designated hospitals-multi-specialty physician
practices, and affiliations with prestigious academic medical
institutions. Note the worthy advantages of supportive leadership,
shared decision-making, state-of-the-art technological resources,
inter-professional teams, innovative learning, and advancement
Education: Graduate of professional school of nursing required.
Bachelor's Degree in Nursing preferred.
Experience: Minimum of three (3) years to five (5) years'
experience in clinical healthcare setting with direct patient care
responsibilities reflecting planning, coordination, delivery of
needed services such as education, discharge planning and
utilization management required.
Licensure/Certification: Current licensure in Virginia as
Registered Nurse required. Case Management Certification
Other: Strong oral and written communication skills as well as
effective interpersonal skills. Must be effective at teaching
individuals from all socio-economic and cultural backgrounds. Must
have ability to work without close supervision and demonstrate
effective organizational abilities.
Below are our core values that we strive to embody and expect of
all our team members:
CommUNITY: Working in unison to serve our community, our Carilion
family and our loved ones.
Courage: Doing what's right for our patients without question.
Commitment: Unwavering in our quest for exceptional quality and
Compassion: Putting heart into everything we do.
Curiosity:Fostering creativity and innovation in our pursuit of
Requisition Number: 27767--
Employment Status: Full time--
Location: Park View--
Shift Details: Prim. Monday - Friday; 8am- 4:30pm
Recruiter: DANA E JOHNSON--
Recruiter Phone: 540-983-4006--
Recruiter Email: email@example.com
This is Carilion Clinic ...
An organization where innovation happens, collaboration is expected
and ideas are valued. A not-for-profit, mission-driven health
system built on progress and partnerships. A courageous team that
is always learning, never discouraged and forever curious.
Headquartered in Roanoke, Va., you will find a robust system of
award winning hospitals, Level 1 and 3 trauma centers, Level 3
NICU, Institute of Orthopedics and Neurosciences, multi-specialty
physician practices, and The Virginia Tech Carilion School of
Medicine and Research Institute.
Carilion is where you can make your own path, make new discoveries
and, most importantly, make a difference. Here, in a place where
the air is clean, people are kind and life is good. Make your
tomorrow with us.
Equal Opportunity Employer
Minorities/Females/Protected Veterans/Individuals with
Disabilities/Sexual Orientation/Gender Identity
Carilion Clinic is a drug-free workplace.
Keywords: Carilion Clinic, Charleston , Utilization Management RN-Relocation to VA, Executive , Charleston, West Virginia
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