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Title: UTILIZATION REVIEW NURSE - UTILIZATION MGMT SAN MARTIN
Location: Nevada-Las Vegas Service Area-Las Vegas-St Rose Dominican - San Martin
Job Number: 1200018138
St. Rose Dominican Hospitals Case Management Department provides Case Management, Utilization Review and Social services to an all encompassing patient population, inclusive of a full service line. The goal of the continuity of care function is to define, shape, and sequence the patient’s clinical care and activities along the hospital admission and care continuum through to discharge. The Case Manager bases care recommendations on information gathered from many sources and team members, about patients’ needs and insures the patients are placed in the appropriate level of care through the application of Interqual criteria.
The Utilization Review Nurse is responsible for coordinating healthcare services across the continuum of care by monitoring, evaluating, and modifying the treatment plan to achieve optimal patient outcomes under the direction of the Manager and Director of Case Management. The registered nurse employs critical thinking to integrate objective data with knowledge gained from an assessment of the subjective experiences of patients. Registered nurses use this critical thinking process to apply the best available evidence and research data to the processes of diagnosis and treatment. Nurses continually evaluate quality and effectiveness of nursing practice and seek to optimize outcomes. Medical/clinical knowledge, technical and clinical skills, clinical judgment, interpersonal skills and communication as indicated in the current Comprehensive Accreditation Manual for Hospitals are essential components of nursing practice. All registered nurses practice within the scopes and standards of practice set forth by the American Nurses Association. Additional Professional Organizations may be referenced when appropriate to guide practice and standards within the work place.
This position is represented by CNA and is covered by the terms and conditions of the applicable collective bargaining agreement.
Require Patient Population tab: No
Minimum - Two (2) years acute hospital clinical experience as a registered nurse. One year of Health Care related Case Management experience.
Preferred - Two Years (2) of current hospital Case Management experience or Case Management experience in related field of health care.
Minimum - Graduate of an accredited school of nursing.
Preferred - Bachelor of Science in Nursing.
Demonstrate the ability to work independently and with a team; read and analyze clinical data; be aware of available community resources and regulatory requirements pertinent to case management; uphold patient and family confidentiality; implement quality improvement initiatives; solve problems effectively including conflict management; communicate effectively - both verbal and written.
Required: RN = Current license as a Registered Nurse in the State of Nevada.
CT CPRBLS = Basic Life Support CPR.
Preferred: Case Management Certification.
ST. ROSE is EXCELLENCE
St. Rose Dominican Hospitalshas served southern Nevada for more than 60 years with a commitment to quality, compassionate health care. As southern Nevada's only not-for-profit, non-tax supported, religiously sponsored hospitals, St. Rose recognizes the importance of healing not only the body, but the mind and spirit as well. Dedicated caregivers, the latest technology and an environment of healing work together at all three St. Rose hospitals in Henderson and Las Vegas.
We are part of Dignity Health , one of the largest health care systems in the U.S. The word"dignity"perfectly defines what our organization stands for: Showing respect for all people by providing excellent care.
Our employees enjoy competitive salaries, comprehensive benefit packages and teamwork centered work environments. We offer relocation assistance to qualified candidates. We also value the health our employees, patients and visitors St. Rose is a tobacco-free organization.
With a focus on family and community, southern Nevada has beautiful master-planned neighborhoods and affordable living, first-class restaurants, shopping, entertainment and no state income tax. The beauty and climate of the Southwest make possible year-round outdoor activities.
Las Vegas and Henderson, Nevada are cities based on community and St. Rose Dominican Hospitals has served this community with a commitment to excellence in the delivery of compassionate health care.
St. Rose Dominican Hospitals is an equal opportunity employer (EOE) seeking qualified and diverse candidates to foster a work environment where our employees share a commitment to our mission and values. All employment decisions are made without discrimination on the basis of race, color, religion, gender, national origin, age, disability, veteran or marital status or any other basis prohibited by federal, state or local law.
St. Rose Hospitals are safe lift equipped and follow theNational Institute for Occupational Safety and Health (NIOSH)Standards for lifting.
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Job: Case Management / Utilization Review